Kimberly Jean Stark-Van Noord in Troy - Physician Assistant
Kimberly Jean Stark-Van Noord - NPI 1497955397
Kimberly Jean Stark-Van Noord is a Physician Assistant in Troy, Michigan. Kimberly Jean Stark-Van Noord practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kimberly Jean Stark-Van Noord is 1497955397. The last update date is 2021-11-19.
Kimberly Jean Stark-Van Noord's current location address is 44021 Dequindre, Troy, Michigan. You can contact this provider via phone number 2489648787 and fax number 2489646133. The mailing address for Kimberly Jean Stark-Van Noord is 44021 Dequindre, Troy, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Jean Stark-Van Noord |
|---|---|
| Address | 44021 Dequindre, Troy, Michigan |
| Phone Number | 2489648787 |
| Fax Number | 2489646133 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1497955397 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2021-11-19 |
Provider Mailing Address Detail
| Address | 44021 Dequindre |
|---|---|
| City | Troy |
| State | Michigan (MI) |
| Post Code | 48085 |
| Phone Number | 2489648787 |
| Fax Number | 2489646133 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004641 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0F31794 | MI | BLUE CROSS BLUE SHIELD OF | |
| 383601519 | MI | COMMERCIAL INSURANCE |
Post Comment/ Review Below
What is the unique identifier code issued to Kimberly Jean Stark-Van Noord by the Centers for Medicare & Medicaid Services?
The Kimberly Jean Stark-Van Noord has been assigned the NPI (National Provider Identifier) 1497955397. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kimberly Jean Stark-Van Noord located?
The Kimberly Jean Stark-Van Noord is located at 44021 Dequindre, Troy, MI 48085.
What is the Kimberly Jean Stark-Van Noord's specialty and taxonomy code?
The Kimberly Jean Stark-Van Noord's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1497955397 assigned to Kimberly Jean Stark-Van Noord?
The Kimberly Jean Stark-Van Noord was issued its 1497955397 on 2007-07-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kimberly Jean Stark-Van Noord last refreshed?
The information related to the Kimberly Jean Stark-Van Noord, including its address, specialty, and other relevant details, was last updated on 2021-11-19.