KIM MARIE MLCAK GNP
NPI 1124323456
Nurse Practitioner - Gerontology in Dickinson, TX

Active since January 18, 2011
680 FM 517 RD W, DICKINSON, TX 77539(281) 218-7200(281) 218-7203 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Marie Mlcak Gnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM MARIE MLCAK GNP (NPI 1124323456) is an individual gerontology provider in Dickinson, Texas, licensed in Texas (244803) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1124323456
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKIM MARIE MLCAKCredential: GNP
Location Address680 FM 517 RD WDickinson, TX 77539-3904
Mailing Address680 Fm 517 Rd WDickinson, TX 77539-3904 · (281) 218-7200 · Fax (281) 218-7203
Fax(281) 218-7203
Sole ProprietorYes
Enumeration DateJanuary 18, 2011
Last NPPES UpdateJune 8, 2011
NPI 1124323456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in TX · 244803
680 FM 517 RD W, Dickinson, TX 77539

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
680 FM 517 RD W
DICKINSON, TX 77539
Student in an Organized Health Care Education/Training Program
680 FM 517 RD W
DICKINSON, TX 77539

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Mlcak's NPI number?

The NPI number for Kim Mlcak is 1124323456. It was assigned to this individual provider in the NPPES registry on January 18, 2011.

Where is Kim Mlcak located?

Kim Mlcak practices at 680 Fm 517 Rd W, Dickinson, TX 77539. The listed phone number is (281) 218-7200.

What is Kim Mlcak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Kim Mlcak was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.