Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Wayne Nelson Stark Jr., MD

Individual provider Pediatrics Physician · NPI 1215246202

Dr. Wayne Nelson Stark Jr., MD is a Pediatrics Physician in Louisville, Kentucky. Licensed in Florida and Kentucky. Registered with an NPI since 2010.

Licensed in
FL, KY
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4001 Dutchmans Ln
Louisville, KY 40207-4714
Phone: (502) 599-3930
Fax: (502) 559-4605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence 45095 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 45095 (KY)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence ME123631 (FL)

Record details

NPI number1215246202
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 25, 2010
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

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