Amy Stark

NPI 1992233548 · on the registry since 2017 · sole proprietor

Practice

Address: 5601 Nw 72nd St Ste 234
Warr Acres, OK 73132
Phone: (405) 367-3927
Organisation at this address: Revan Inc
Rediscover You
Revan Health Llc
Kmf Medical Group
Nutrition Specialists
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 101YP2500X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-06-28

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 Oklahoma