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Kathy Jean Stark, AGPCNP-BC
Adult Health Nurse Practitioner in Springfield, Illinois
NPI 1457704025

Kathy Jean Stark is an Adult Health Nurse Practitioner based in Springfield, IL and is specialized in Adult Health. Kathy Jean Stark practices in Springfield, IL and has the professional credentials of AGPCNP-BC. The NPI Number for Kathy Jean Stark is 1457704025 and holds a License No. 209014267 (Illinois).

The current practice location address for Kathy Jean Stark is 747 N Rutledge St, Springfield, IL and can be reached out via phone at 217-545-8000 and via fax at 217-545-7063.

Location: 747 N Rutledge St, Springfield, IL, 62702-6700
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Provider Profile Details
NPI Number
1457704025
Provider Name
Kathy Jean Stark
Credential
AGPCNP-BC
Provider Entity Type
Individual
Gender
Female
Address
747 N Rutledge St, Springfield, IL, 62702-6700
Phone Number
217-545-8000
Fax Number
217-545-7063
Provider Enumeration Date
07/19/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209014267 05 IL
institution
Provider Business Practice Location Address Details
Address
747 N Rutledge St
City
State
Zip
62702-6700
Phone Number
217-545-8000
Fax Number
217-545-7063
person
Provider Business Mailing Address Details
Address
747 N Rutledge St
City
State
Zip
62702-6700
Phone Number
217-545-8000
Fax Number
217-545-7063
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209014267 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
209014267 (Illinois)
Definition
Definition to come...
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