Individual
MR. KENNETH JAMES STARR
Active
Individual
MR. KENNETH JAMES STARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
126435
IL
246ZS0410X
Surgical Technologist
126435
IL
246ZS0410X
Surgical Technologist
F01522
MN
363AS0400X
Surgical Physician Assistant
Primary
238.000407
IL
Other
Enumeration date
03/20/2007
Last updated
10/15/2018
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