Individual provider · Type 1 NPI

Wayne Nelson Stark Jr., MD

Pediatric Emergency Medicine (Pediatrics) Physician · Louisville, KY

NPI number 1215246202 Active

Practice location

4001 Dutchmans Ln
Louisville, KY 40207-4714

Call (502) 599-3930 Map

Fax (502) 559-4605

Mailing address

PO Box 776879
Chicago, IL 60677-6351

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X45095 (KY)
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204XME123631 (FL)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X45095 (KY)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1215246202

Wayne Nelson Stark Jr., MD's National Provider Identifier is 1215246202, issued on Sep 25, 2010. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Louisville, KY. The record was last updated on Sep 5, 2024.