Individual provider · Type 1 NPI

Kim Marie Mlcak, GNP

Gerontology Nurse Practitioner · Dickinson, TX

NPI number 1124323456 Active

Practice location

680 FM 517 Rd W
Dickinson, TX 77539-3904

Fax (281) 218-7203

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X244803 (TX)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1124323456

Kim Marie Mlcak, GNP's National Provider Identifier is 1124323456, issued on Jan 18, 2011. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Dickinson, TX. The record was last updated on Jun 8, 2011.