Healthcare Provider Details

I. General information

NPI: 1841130226
Provider Name (Legal Business Name): KIMAR WHYTE-STARKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 HILL RD N
PICKERINGTON OH
43147-9346
US

IV. Provider business mailing address

641 HILL RD N
PICKERINGTON OH
43147-9346
US

V. Phone/Fax

Practice location:
  • Phone: 614-627-1380
  • Fax:
Mailing address:
  • Phone: 614-627-1380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0040464
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: