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Contact Information

TRACEY A STARK, ARNP
204 S COLLEGE ST
SCOTT CITY, KS67871
 Phone: 620-872-2187
 Fax: 620-872-2830
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TRACEY A STARK · (Female)

NPI Number 1013104900
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 09/25/2007
Last updated 09/25/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 74301
Hospital affiliation(s)
  • HOSPITAL DISTRICT #1 OF RICE COUNTY - (Critical Access)
    619 SOUTH CLARK AVENUE
    LYONS, KS 67554
  • PRATT REGIONAL MEDICAL CENTER - (Acute Care)
    200 COMMODORE ST
    PRATT, KS 67124
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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