Individual
CAITLIN ANN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-1227
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
13-149412-121
KS
363L00000X
Nurse Practitioner
Primary
53-82458-121
KS
Other
Enumeration date
08/07/2023
Last updated
09/11/2023
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