Organization
CHRISTOPHER STARK MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL FORD CPC, CANPC (BILLING MANAGER)
(859) 881-3139
Entity
Organization
Contact information
Practice address
989 GOVERNORS LN, STE 180, LEXINGTON, KY 40513-1173
(859) 338-3958
Mailing address
989 GOVERNORS LN, STE 180, LEXINGTON, KY 40513-1173
(859) 338-3958
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39876
KY
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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