Individual
BROOKE STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7715 NE 103RD TER, KANSAS CITY, MO 64157-8066
(816) 776-9553
Mailing address
7715 NE 103RD TER, KANSAS CITY, MO 64157-8066
(816) 776-9553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2017020191
MO
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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