Dr. Kim B Lackey, DNP, APRN, AGPCNP-BC
Dr. Kim B Lackey, DNP, APRN, AGPCNP-BC is a Nurse Practitioner in Matthews, North Carolina. Qualified in 2018, 8 years ago. Licensed in North Carolina.
- Years since qualifying
- 8
- Licensed in
- NC
- In the registry since
- 2018
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
434 N Trade St Ste 104Matthews, NC 28105-1865
Phone: (704) 246-3936
Fax: (704) 771-1931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 5011316 (NC) |
|---|---|
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 5011316 (NC) |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 5011316 (NC) |
Record details
| NPI number | 1699241752 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DNP , APRN , AGPCNP-BC |
| Sole proprietor | No |
| NPI enumerated | October 16, 2018 |
| Last updated in NPPES | February 26, 2026 |
| Certification date | February 26, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Matthews
-
Mrs. Gretchen Elaine Lawson, MSN, APRN, AGNP-C
1122 Sam Newell Rd Ste 114, Matthews, NC 28105-5016 · (980) 430-3130
-
Metabolic Reset Clinic
1122 Sam Newell Rd Ste 114, Matthews, NC 28105-5016 · (980) 430-3130