Individual
KATHRYN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4450 31ST AVE S STE 102, FARGO, ND 58104-4557
(701) 280-2033
(701) 232-5578
Mailing address
301 NP AVE N, FARGO, ND 58102-4835
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/08/2014
Last updated
02/25/2022
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