Stark, Kristi R

Stark, Kristi R is an individual health care provider with primary practice located at 10240 Park Meadows Dr , Lone Tree CO 80124-5425. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Stark, Kristi R can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10240 Park Meadows Dr Lone Tree CO 80124-5425
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 112838 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 991440 Colorado

Profile Details

NPI number 1023145042
LBN Legal business name Stark, Kristi R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Aug 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023145042 NPPES
Other 014495 KAISER-COMMERCIAL NUMBER
MEDICAID 71437860 KAISER-COMMERCIAL NUMBER

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