Kimberly Jean Stark-Van Noord, PA
Physician Assistant in Ferndale, MI. Individual provider (NPI-1).
NPI number1497955397
StatusActive
Last updated in NPPESNov 19, 2021
Details
- NPI
- 1497955397
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Jean Stark-Van Noord
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2007
- Certification date
- Nov 19, 2021
- Last updated
- Nov 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601004641 | MI | Yes |
Practice location
44021 DequindreFerndale, MI 48085
Phone 248-964-8787 · Fax 248-964-6133
Mailing address
44021 DequindreAttn Jan McFarlane
Troy, MI 48085
Phone 248-964-8787 · Fax 248-964-6133
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All 18 Physician Assistant providers in Ferndale · All 725 providers in Ferndale
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