Individual
DR. KATHY LYNN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
114 KINDERTON BLVD, ADVANCE, NC 27006-7302
(336) 998-9742
(336) 998-9410
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911983
—
NC
Enumeration date
04/06/2006
Last updated
12/28/2012
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