Healthcare Provider Details
I. General information
NPI: 1306178900
Provider Name (Legal Business Name): KOURTNI STARKEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/05/2010
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3252 E PERIMETER RD
JB ANDREWS MD
20762-5011
US
IV. Provider business mailing address
3252 E PERIMETER RD
JB ANDREWS MD
20762-5011
US
V. Phone/Fax
- Phone: 240-857-6657
- Fax:
- Phone: 240-857-6657
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083A0100X |
| Taxonomy | Aerospace Medicine Physician |
| License Number | ME128499 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: