Individual provider · Type 1 NPI

Kyndra Lea Gross, PA

Surgical Physician Assistant · Plano, TX

NPI number 1396296117 Active

Practice location

6020 W Parker Rd Ste 470
Plano, TX 75093-8338

Fax (972) 608-0366

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA10863 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1396296117

Kyndra Lea Gross, PA's National Provider Identifier is 1396296117, issued on Oct 17, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Plano, TX. The record was last updated on Aug 15, 2019.