person
Philip Konrad Stark
Student in an Organized Health Care Education/Training Program in Lincoln, Nebraska
NPI 1861197303

Philip Konrad Stark is a Student in an Organized Health Care Education/Training Program based in Lincoln, NE. Philip Konrad Stark practices in Lincoln, NE. The NPI Number for Philip Konrad Stark is 1861197303 and holds a License No. (Nebraska).

The current practice location address for Philip Konrad Stark is 4600 Valley Rd, Lincoln, NE and can be reached out via phone at 402-483-4591 and via fax at 402-483-5633.

Location: 4600 Valley Rd, Lincoln, NE, 68510-4855
person
Provider Profile Details
NPI Number
1861197303
Provider Name
Philip Konrad Stark
Credential
Provider Entity Type
Individual
Gender
Male
Address
4600 Valley Rd, Lincoln, NE, 68510-4855
Phone Number
402-483-4591
Fax Number
402-483-5633
Provider Enumeration Date
04/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4600 Valley Rd
City
State
Zip
68510-4855
Phone Number
402-483-4591
Fax Number
402-483-5633
person
Provider Business Mailing Address Details
Address
4600 Valley Rd
City
State
Zip
68510-4855
Phone Number
402-483-4591
Fax Number
402-483-5633
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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