Dr. Wayne Nelson Stark Jr.
M.D. | Pediatric Emergency Medicine | Male
Dr. Wayne Nelson Stark Jr., M.D. is a Louisville, Kentucky based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Wayne Nelson Stark Jr. is
4001 Dutchmans Ln, Louisville, Kentucky - 40207-4714. He can be contacted on phone at
502-599-3930 and fax number 502-559-4605.
Dr. Wayne Nelson Stark Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Wayne Nelson Stark Jr. is
1215246202 which was assigned by NPPES on 25 Sep, 2010 and it was last updated on 29 Apr, 2021.
Dr. Wayne Nelson Stark Jr. license number is
45095 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Kentucky.
Dr. Wayne Nelson Stark Jr. has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Wayne Nelson Stark Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Wayne Nelson Stark Jr. |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Wayne Nelson Stark Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4001 Dutchmans Ln
Louisville, KY, 40207-4714
United States |
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| Phone Number : | 502-599-3930 |
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| Fax Number : | 502-559-4605 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215246202 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Sep, 2010 |
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| Last Updated On : | 29 Apr, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Wayne Nelson Stark Jr. are as mentioned. Primary taxonomy code for Dr. Wayne Nelson Stark Jr., M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 45095 | KY |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | ME123631 | FL |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 45095 | KY |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 776879
Chicago, IL, 60677-6351
United States |
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| Phone Number : | 502-588-9490 |
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| Fax Number : | 502-272-5116 |
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Business Location:
Patients can refer following map for directions to
Dr. Wayne Nelson Stark Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.