Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101044086 | VA |
N | 111NI0900X | Internist | 0101044086 | VA |
Y | 207RG0300X | Geriatric Medicine | 0101044086 | VA |
NPI | 1073551610 |
---|---|
Provider Name | Karen L Starr |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 02/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E34770 | (02) |