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NPI Code Detail

MEDICARE: KIM STARR

MEDICARE: KIM STARR
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
1225X00000XOccupational Therapist31002643AIN

General Provider Information

NPI Number : 1730598129
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM STARR
Provider Business Mailing Address
First Line : 3001 SPRING FOREST RD
Second Line :
City : RALEIGH
State : NC
Zip : 27616-2815
Country : US
Telephone Number : 919-424-5080
Fax Number : 919-424-4310
Provider Business Practice Location Address
First Line : 8800 SPOON DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4230
Country : US
Telephone Number : 317-890-1568
Fax Number : 317-890-1656
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2014
Last Update Date : 08/11/2014

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Directions to “ KIM STARR ” Practice Location

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