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Individual

VICTORIA STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-4027
(859) 572-3618
(859) 572-2326
Mailing address
PO BOX 638685, CINCINNATI, OH 45263-8685
(859) 572-3617

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3359
KY

Other

Enumeration date
05/25/2023
Last updated
08/26/2025
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