Individual
TRACEY ANN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
204 S COLLEGE ST, SCOTT CITY, KS 67871
(620) 872-2187
(620) 872-2830
Mailing address
204 S COLLEGE ST, SCOTT CITY, KS 67871
(620) 872-2187
(620) 872-2830
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
74301
KS
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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