Provider Demographics
NPI:1861493546
Name:STARKMAN-PLASTER, KARA B (PA)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:B
Last Name:STARKMAN-PLASTER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:B
Other - Last Name:JUNKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:2448 E 81ST ST STE 1520
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-4212
Mailing Address - Country:US
Mailing Address - Phone:918-900-2520
Mailing Address - Fax:918-900-2521
Practice Address - Street 1:2448 E 81ST ST STE 1520
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4212
Practice Address - Country:US
Practice Address - Phone:918-900-2520
Practice Address - Fax:918-900-2521
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1263363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKP93046Medicare UPIN