Individual
DR. WAYNE NELSON STARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 DUTCHMANS LN, LOUISVILLE, KY 40207-4714
(502) 599-3930
(502) 559-4605
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
45095
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
45095
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
ME123631
FL
Other
Enumeration date
09/25/2010
Last updated
09/05/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us