SearchNew York164W00000X

Kelly Stark, LPN

NPI 1023372893 · on the registry since 2012 · sole proprietor

Practice

Address
1174 Starr Rd
Apt 11
Cortland, NY 13045
Phone
(607) 229-2831

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-06-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York