Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaley Nichole Lulkovich

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922760107

Kaley Nichole Lulkovich is an Emergency Medicine in Austin, Texas. Graduated from Oklahoma State University College of Osteopathic Medicine in 2023, 3 years ago. Practices with Cec Lakeway Urgent Care Physicians PLLC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
TX
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1501 Red River St
Austin, TX 78712-1845
Phone: (512) 495-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 W 17th St, Tulsa, OK 74107-1886 — (918) 582-1972

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 764823 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922760107
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2021
Last updated in NPPESApril 6, 2023
Certification dateMarch 22, 2023
Mailing address1400 N Ih 35 Ste C2.230, Austin, TX 78701-1926

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2023 (3 years in practice)
Group practice Cec Lakeway Urgent Care Physicians Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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