MS. Kelly Lynn Stark, LPN

NPI #1023372893 in Cortland, New York

Provider Information

NPI Number
1023372893
Entity Type
Individual
Name
MS. Kelly Lynn Stark, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jun 27, 2012
Last Updated
Jun 27, 2012

Practice Location

Address
1174 STARR RD
Address 2
APT 11
ZIP Code
13045-6809
Phone
(607) 229-2831

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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