Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNEDY NICOLE GOMBERT
Active Sole ProprietorKENNEDY NICOLE GOMBERT is a Surgical Physician Assistant healthcare provider located in RICHARDSON, Texas. NPI 1154199792 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · RICHARDSON, TX
Registration Details
- NPI Number
- 1154199792
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 13, 2023 (2.7017833276257 yrs)
- Last Updated
- Aug 14, 2025
- Licenses
-
PA19009 (TX)PA19009 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2323 N CENTRAL EXPYRICHARDSON, TX, 750802712Browse TX providers · Browse ZIP 75080
- Phone
- 2144534533
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in RICHARDSON, TX
| Name | Credential | NPI |
|---|---|---|
| LU LIU | PA | 1093776635 |
| MRS. DONNA LYNN BAILEY | P.A.-C. | 1659464691 |
| MR. BRECK JAMES WHEELOCK | PA-C | 1174879159 |
| KRISTOPHER HOLMES | PA-C | 1750773131 |
| LAKIESHA BOHANNON | PA | 1255889853 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.