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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WAYNE NELSON STARK JR., M.D.

Active

DR. WAYNE NELSON STARK JR., M.D. is a Pediatric Emergency Medicine healthcare provider located in LOUISVILLE, Kentucky. NPI 1215246202 is currently active in the NPPES registry. Verify at CMS.

Pediatric Emergency Medicine · LOUISVILLE, KY

Registration Details

NPI Number
1215246202
Provider Type
Individual
Gender
Male
NPI Issued
Sep 25, 2010 (15.916898142592 yrs)
Last Updated
Sep 5, 2024
Licenses
45095 (KY)
ME123631 (FL)
45095 (KY)

Practice Information

Address
4001 DUTCHMANS LN
LOUISVILLE, KY, 402074714
Browse KY providers · Browse ZIP 40207
Phone
5025993930
Fax
5025594605
Primary Specialty
Pediatric Emergency Medicine
2080P0204X
Additional Specialty
Pediatric Emergency Medicine
Additional Specialty
Pediatric Emergency Medicine

Other Pediatric Emergency Medicine Providers in LOUISVILLE, KY

Name Credential NPI
DR. MOLLY B HASTY MD 1649267410
IN KIM MD 1760466791
RONALD IRVIN PAUL MD 1083698021
DR. COLE S CONDRA MD MSC 1467436469
MARY ELIZABETH LACHER MD 1689658213
DR. JEAN MARIE KALLIS MD 1083685317
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.