Kenneth C Starks
Medical Specialty
Professional ID
- NPI: 1487799110
- PECOS ID: 4789572546
- Enrollment ID: I20101029000104
- Credential(MD, DO, DPM):
- Medical School: University Of Minnesota Medical School
- Medical School Graduation Year: 1986
Hospital Service
- Hospital CCN1: 020012
- Business Name (LBN)1: Fairbanks Memorial Hospital
Medical Practices
- Organization Name: Tanana Valley Clinic Llc
- Group Practice ID assigned by PECOS: 5698056901
- Number of Group Practice member: 80
Location
- Address1: 1001 Noble St
- Address2:
- City: Fairbanks
- State: Alaska
- Zip Code: 99701
- Phone Number: (907)459-3500
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):