Stark, Wayne Nelson

Stark, Wayne Nelson is an individual health care provider with primary practice located at 4001 Dutchmans Ln , Louisville KY 40207-4714. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Stark, Wayne Nelson can be contacted via phone (502) 599-3930.

Contact Information

Primary practice address
4001 Dutchmans Ln Louisville KY 40207-4714
Phone: (502) 599-3930
Fax: (502) 559-4605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 45095 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X ME123631 Florida
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 45095 Kentucky

Profile Details

NPI number 1215246202
LBN Legal business name Stark, Wayne Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2010
Last updated Apr 29th, 2021 - about 3 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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