Individual provider · Type 1 NPI

Kathryn Nicole Gray, RN, CPNP-PC

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1508151994 Active

Practice location

3434 W Illinois Ave, 306-3
Dallas, TX 75211-8709

Fax (214) 623-1901

Mailing address

1935 Medical District Dr
Dallas, TX 75235-7701

Specialties and licenses

TaxonomyCodeLicense
Health Educator 174H00000X717114 (TX)
Pediatric Nurse Practitioner Primary 363LP0200X717114 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1508151994

Kathryn Nicole Gray, RN, CPNP-PC's National Provider Identifier is 1508151994, issued on Jun 14, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Oct 25, 2016.