Individual provider · Type 1 NPI
Kacey L. Stark
Family Nurse Practitioner · New Bern, NC
NPI number
1699584581
Active
Practice location
2000 Neuse Blvd
New Bern, NC 28560-3449
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Flight Registered Nurse | 163WF0300X | 194691 (NC) |
| Family Nurse Practitioner Primary | 363LF0000X | 5023171 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1699584581
Kacey L. Stark's National Provider Identifier is 1699584581, issued on Jan 6, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Bern, NC. The record was last updated on Nov 4, 2025.