Kathy Jean Stark, AGPCNP-BC
Kathy Jean Stark, AGPCNP-BC is a Gerontology Nurse Practitioner in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
747 N Rutledge St 5th FlSpringfield, IL 62702-6700
Phone: (217) 545-8000
Fax: (217) 545-7063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 209014267 (IL) |
|---|---|
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 209014267 (IL) |
Record details
| NPI number | 1457704025 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGPCNP-BC |
| Sole proprietor | No |
| NPI enumerated | July 19, 2016 |
| Last updated in NPPES | December 7, 2020 |
| Certification date | December 7, 2020 |
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Taryn L Plummer, APN
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-
Amanda Leigh Ruyle-Ryan, GNP
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-
Springfield Elder Care, LLC
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Springfield Elder Care, PC
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