Search › North Carolina › 363LP2300X
Kim Lackey, DNP, APRN, AGPCNP-BC
NPI 1699241752 · on the registry since 2018
Practice
- Address
- 434 N Trade St Ste 104
Matthews, NC 28105 - Phone
- (704) 246-3936
- Fax
- (704) 771-1931
- Organisation at this address
- Proheal Nc Inc
Forsyth Medical Group, Llc
Matthews Internal Medicine PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Also registered as
- 363LA2200X
363LG0600X - Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina