Individual
SHELBY K STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
70240 S 336 RD, WAGONER, OK 74467-8642
(620) 450-6607
Mailing address
720 MYRTLE ST, PRATT, KS 67124-3505
(620) 450-6607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4942
OK
235Z00000X
Speech-Language Pathologist
5359
KS
Other
Enumeration date
07/11/2018
Last updated
05/14/2025
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