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

Kimberlee Mack, PA-C

Individual provider Physician Assistant · NPI 1396284592

Kimberlee Mack, PA-C is a Physician Assistant in Fort Cavazos, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

590 Medical Center Rd
Fort Cavazos, TX 76544
Phone: (915) 591-2704
Fax: (915) 225-0413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11188 (TX)

Record details

NPI number1396284592
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 21, 2017
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address36000 Darnall Loop, Fort Hood, TX 76544-5095

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