Provider Demographics
NPI:1790551281
Name:STOKES, KARA
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5659 LILAC AVE
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-7907
Mailing Address - Country:US
Mailing Address - Phone:614-359-5732
Mailing Address - Fax:
Practice Address - Street 1:5659 LILAC AVE
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-7907
Practice Address - Country:US
Practice Address - Phone:614-738-0756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0035427363L00000X
OH281035311500000X
OH1761HHS251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No251E00000XAgenciesHome Health