Dr. Kim B Lackey
DNP, AGPCNP-BC, RN | Nurse Practitioner - Primary Care
9900 Bren Rd E, Minnetonka
Minnesota, 55343-9664
704-984-0469
Dr. Kim B Lackey is a Minnetonka, Minnesota based nurse practitioner who is specialized as Primary Care nurse. Active license number of Dr. Kim B Lackey is 5011316 for Adult Health in North Carolina. Her current practice location is 9900 Bren Rd E, Minnetonka. Patients can reach her at 704-984-0469. Dr. Kim B Lackey is DNP, AGPCNP-BC, RN with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1699241752.
Dr. Kim B Lackey is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Dr. Kim B Lackey speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Kim B Lackey |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Female |
| Credentials: | DNP, AGPCNP-BC, RN |
| Practice Address: | 9900 Bren Rd E, Minnetonka,
Minnesota, 55343-9664 |
| Phone: | 704-984-0469 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1699241752 |
| NPI Enumeration Date: | 16 Oct, 2018 |
| NPI Last Update On: | 22 Jun, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kim B Lackey are as mentioned below.
| License Number | Specialization | State | Status | |
| 5011316 | Adult Health | North Carolina | Primary | |
| 5011316 | Primary Care | North Carolina | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Kim B Lackey
Po Box 1459,
Minneapolis, Minnesota |
| Zip: | 55440-1459 |
| Phone Number: | 478-538-0908 |
Patients can reach Dr. Kim B Lackey at
9900 Bren Rd E, Minnetonka, Minnesota or can
call to book an appointment on 704-984-0469.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.