MEDICARE: KIMAR WHYTE-STARKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.0040464	OH

General Provider Information

NPI Number	:	1841130226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMAR WHYTE-STARKS

Provider Business Mailing Address
First Line	:	641 HILL RD N
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-9346
Country	:	US
Telephone Number	:	614-627-1380
Fax Number	:

Provider Business Practice Location Address
First Line	:	641 HILL RD N
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-9346
Country	:	US
Telephone Number	:	614-627-1380
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	06/02/2026

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Directions to “ KIMAR WHYTE-STARKS ” Practice Location

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