Doctor Name: | KIMBERLY ELLEN STARR |
NPI Number: | 1043510597 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 209.008374 |
Business Practice Address: | 950 N York Rd 102 Hinsdale, IL - 605212950 |
Business Phone Number: | 6309201347 |
Business Fax Number: | |
Mailing Address: | 950 N York Rd, 102 HINSDALE |
State: | IL |
Postal Code: | 605212950 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/01/2010 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 209.008374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |