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

Keith A Stark

Individual provider Marriage & Family Therapist · NPI 1174887681

Keith A Stark is a Marriage & Family Therapist in Las Vegas, Nevada. Practices as a sole proprietor and works from 2 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2012

Practice location Address checks out

3450 E Russell Rd 210
Las Vegas, NV 89120-2201
Phone: (702) 629-4354
Fax: (702) 644-0475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11500 S Eastern Ave Ste 150, Henderson, NV 89052-5576 — (702) 661-7436

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MI4366 (NV)

Record details

NPI number1174887681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 28, 2012
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

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