Individual
MS. KATHRYN NICOLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP-PC
Contact information
Practice address
3434 W ILLINOIS AVE, 306-3, DALLAS, TX 75211-8709
(214) 623-1900
(214) 623-1901
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 623-1900
(214) 623-1901
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
717114
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
717114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1775835-03
—
TX
Enumeration date
06/14/2011
Last updated
10/25/2016
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