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

Kimly A Vault, FNP

Individual provider Family Nurse Practitioner · NPI 1508811126

Kimly A Vault, FNP is a Nurse Practitioner in Dallas, Texas. Qualified in 1999, 27 years ago. Practices with Primamed Physicians, PLLC, a 63-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
27
Licensed in
TX
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

5303 Harry Hines Blvd Ste 108
Dallas, TX 75390-7208
Phone: (214) 645-2900
Fax: (214) 645-2902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP110250 (TX)

Record details

NPI number1508811126
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESMay 5, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Primamed Physicians, Pllc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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