Gross, Kathy Lynn

Gross, Kathy Lynn is an individual health care provider with primary practice located at 114 Kinderton Blvd , Advance NC 27006-7302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gross, Kathy Lynn can be contacted via phone (336) 998-9742.

Contact Information

Primary practice address
114 Kinderton Blvd Advance NC 27006-7302
Fax: (336) 998-9410
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27464 North Carolina

Profile Details

NPI number 1972565661
LBN Legal business name Gross, Kathy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Dec 28th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972565661 NPPES
North Carolina MEDICAID 8911983

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