Kim Lackey, DNP, APRN, AGPCNP-BC

Individual Active
NPI 1699241752
Primary Care Nurse Practitioner Matthews, NC

NPI 1699241752 belongs to Kim Lackey, DNP, APRN, AGPCNP-BC, a primary care nurse practitioner with a practice location in Matthews, NC. The NPI was issued on October 16, 2018, and the record was last updated in NPPES on February 26, 2026. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X 5011316 (NC)
Adult Health Nurse Practitioner 363LA2200X 5011316 (NC)
Gerontology Nurse Practitioner 363LG0600X 5011316 (NC)

Practice location

434 N Trade St Ste 104
Matthews, NC 28105-1865
Phone: (704) 246-3936

Local context

Active NPPES records list 72 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 24 of them within 10 miles.

The same primary taxonomy is listed by 408 in North Carolina and 13,136 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Kim B Lackey
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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