Individual provider · Type 1 NPI

Kimberlee Mack, PA-C

Physician Assistant · Fort Cavazos, TX

NPI number 1396284592 Active

Practice location

590 Medical Center Road
Fort Cavazos, TX 76544

Fax (915) 225-0413

Mailing address

36000 Darnall Loop
Fort Hood, TX 76544-5095

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA11188 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1396284592

Kimberlee Mack, PA-C's National Provider Identifier is 1396284592, issued on Feb 21, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Cavazos, TX. The record was last updated on Jul 24, 2026.