Healthcare Provider Details

I. General information

NPI: 1801183132
Provider Name (Legal Business Name): MRS. RHONDA KRISTINE STARR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E BELLE TER
BAKERSFIELD CA
93307-3871
US

IV. Provider business mailing address

1600 E BELLE TER
BAKERSFIELD CA
93307-3871
US

V. Phone/Fax

Practice location:
  • Phone: 661-635-2950
  • Fax: 661-635-2983
Mailing address:
  • Phone: 661-635-2950
  • Fax: 661-635-2983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: