Individual
KIRSTEN M. GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9550 ROCKY RIVER RD STE 150, CHARLOTTE, NC 28215
(704) 316-5281
(704) 316-5283
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38264
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7937732
—
NC
05
—
N38264
—
SC
Enumeration date
01/18/2006
Last updated
02/26/2019
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