Individual
KIRSTEN GROSS DAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 SUMMIT CROSSING PL STE 200, GASTONIA, NC 28054-2142
(704) 671-5400
(704) 671-5420
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9900810
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1248C
BCBS
NC
05
—
1528023298
—
NC
05
—
N00810
—
SC
Enumeration date
04/18/2006
Last updated
04/01/2025
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