Individual
DR. KIM B LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGPCNP-BC
Contact information
Practice address
434 N TRADE ST STE 104, MATTHEWS, NC 28105-1865
(704) 246-3936
(704) 771-1931
Mailing address
434 N TRADE ST STE 104, MATTHEWS, NC 28105-1865
(704) 246-3936
(704) 771-1931
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
5011316
NC
363LG0600X
Gerontology Nurse Practitioner
5011316
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
5011316
NC
Other
Enumeration date
10/16/2018
Last updated
02/26/2026
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