Provider Demographics
NPI:1952283129
Name:STRUNCK, KAYMEE MALYNN (APRN-CNP)
Entity type:Individual
Prefix:
First Name:KAYMEE
Middle Name:MALYNN
Last Name:STRUNCK
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:KAYMEE
Other - Middle Name:MALYNN
Other - Last Name:GOODEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2022 SUNNY CIR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-7557
Mailing Address - Country:US
Mailing Address - Phone:254-717-8840
Mailing Address - Fax:
Practice Address - Street 1:7030 NEW SANGER AVE STE 201
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-4075
Practice Address - Country:US
Practice Address - Phone:254-425-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1207196363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health