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MS. KELLY LYNN STARK LPN
NPI 1023372893
Licensed Practical Nurse in Cortland, NY

Active since June 27, 2012
1174 STARR RD, APT 11, CORTLAND, NY 13045(607) 229-2831 Get Directions Write a Review

NPPES record last updated: June 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kelly Lynn Stark Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY LYNN STARK LPN (NPI 1023372893) is an individual licensed practical nurse in Cortland, New York, licensed in New York (305069) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1023372893
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. KELLY LYNN STARKCredential: LPN
Location Address1174 STARR RD, APT 11Cortland, NY 13045-6809
Mailing Address1174 Starr Rd, Apt 11Cortland, NY 13045-6809 · (607) 229-2831
Phone(607) 229-2831
Sole ProprietorYes
Enumeration DateJune 27, 2012
✔ NPI 1023372893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 305069
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1174 STARR RD, Cortland, NY 13045
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Stark's NPI number?

The NPI number for Kelly Stark is 1023372893. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Kelly Stark located?

Kelly Stark practices at 1174 Starr Rd Apt 11, Cortland, NY 13045. The listed phone number is (607) 229-2831.

What is Kelly Stark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Stark was last updated on June 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.