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

Philip Konrad Stark

Individual provider Family Medicine Physician · NPI 1861197303

Philip Konrad Stark is a Family Medicine Physician in Lincoln, Nebraska. Licensed in Nebraska. Registered with an NPI since 2023.

Licensed in
NE
In the registry since
2023

Practice location Address checks out

4600 Valley Rd
Lincoln, NE 68510-4855
Phone: (402) 483-4591
Fax: (402) 483-5633
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 36579 (NE)

Record details

NPI number1861197303
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address4600 Valley Rd, Lincoln, NE 68510-4855

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