Individual
KELSEY STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 BURGESS ST, DELTA, CO 81416-2849
(970) 874-7668
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 874-7668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0182791
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0997947-NP
CO
Other
Enumeration date
06/14/2022
Last updated
04/20/2023
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