Individual
KENNETH C STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
607 OLD STEESE HWY, PMB 314, FAIRBANKS, AK 99701-3131
(907) 458-5178
(907) 458-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3297
AK
207R00000X
Internal Medicine Physician
Primary
65750
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007641
—
AK
Enumeration date
02/20/2007
Last updated
02/16/2022
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