KATHY JEAN STARK

SPRINGFIELD, IL
NPI1457704025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: IL  209014267)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209014267)
Enumeration Date2016-07-19
Last Update Date2020-12-07
Business Address
KATHY JEAN STARK AGPCNP-BC
747 N RUTLEDGE ST 5TH FLOOR
SPRINGFIELD, IL 62702-6700
Phone number: 217-545-8000
Mailing Address
KATHY JEAN STARK AGPCNP-BC
747 N RUTLEDGE ST PO BOX 19627
SPRINGFIELD, IL 62702-6700
Phone number: 217-545-8000