Individual
DR. KENNETH STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 NELSON ST, ARROYO GRANDE, CA 93420-3318
(805) 242-1360
Mailing address
105 S MAIN ST, TEMPLETON, CA 93465-9601
(805) 434-1869
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD22323O
OR
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
A105044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057221014
BCBS
—
05
—
288397
—
OR
05
—
8283574
—
WA
01
—
A032
CHAMPUS
—
01
—
H00866
CHAMPUS
—
05
—
XPY196669
—
CA
Enumeration date
06/06/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us