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Contact Information

AMY M STARK
901 E 104TH ST
KANSAS CITY, MO64131
 Phone: 816-769-5109
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for AMY M STARK · (Female)

NPI Number 1750819447
Status Active
Credentials
Entity Individual
Enumeration date 05/25/2017
Last updated 12/22/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2005008569
  • MO License # 2017020422
Hospital affiliation(s)
  • SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL - (Acute Care)
    100 N E SAINT LUKE'S BOULEVARD
    LEES SUMMIT, MO 64086
  • ST LUKES HOSPITAL OF KANSAS CITY - (Acute Care)
    4401 WORNALL ROAD
    KANSAS CITY, MO 64111
  • WESTERN MISSOURI MEDICAL CENTER - (Acute Care)
    403 BURKARTH ROAD
    WARRENSBURG, MO 64093
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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