Individual
WARREN CARLTON STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6675 HOLMES RD, STE 360, KANSAS CITY, MO 64131-1150
(816) 276-7600
(816) 276-7992
Mailing address
6675 HOLMES RD STE 360, KANSAS CITY, MO 64131-1167
(816) 276-7600
(816) 276-7090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DOR7B79
MO
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
R7B79
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241593250
—
MO
Enumeration date
01/10/2006
Last updated
10/16/2018
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