Provider Demographics
NPI:1376981217
Name:SOBBA, KATHRYN STARR (MD)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:STARR
Last Name:SOBBA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:STARR
Other - Last Name:BALBIERZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:MS 400S
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4517
Mailing Address - Country:US
Mailing Address - Phone:816-502-8755
Mailing Address - Fax:
Practice Address - Street 1:WAKE FOREST BAPTIST HEALTH GENERAL SURGERY
Practice Address - Street 2:MEDICAL CENTER BOULEVARD
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-7496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019027048208600000X
NC191736390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program