Kimly A Vault, FNP

Nurse practitioner in Dallas, Texas · NPI 1508811126

Kimly Vault is one of 1,896 nurse practitioners practicing in Dallas, Texas. Kimly Vault practices with Primamed Physicians, PLLC and UCP Physicians Of Central Texas, PLLC.

Registry record (NPPES)

NPI
1508811126
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
5303 Harry Hines Blvd
Dallas, TX 75390-7208
(214) 645-2900
Enumerated
May 23, 2006
Record last updated
May 5, 2016
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.