KATHY STARK, AGPCNP-BC
Nurse Practitioner - Gerontology
Active
Individual
NPI: 1457704025
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Gerontology | 363LG0600X | Yes | 209014267 (IL) |
| Nurse Practitioner - Adult Health | 363LA2200X | No | 209014267 (IL) |
Frequently Asked Questions
NPI 1457704025 is the National Provider Identifier for KATHY STARK, AGPCNP-BC, a Nurse Practitioner - Gerontology provider located in Springfield, IL. This NPI was enumerated on July 19, 2016.
KATHY STARK, AGPCNP-BC practices at 747 N RUTLEDGE ST, 5TH FLOOR, Springfield, IL 62702.
Quick Facts
- NPI
- 1457704025
- Type
- Individual
- Enumerated
- Jul 19, 2016
- Last Updated
- Dec 7, 2020
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