What is Kelly Stark's NPI number?

Kelly Stark's National Provider Identifier (NPI) is 1114343985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Stark's specialty?

Kelly Stark is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Kelly Stark located?

Kelly Stark's practice location on file with NPPES is 2705 E 17th St, Ammon, ID 83406-6669.

What is Kelly Stark's phone number?

The practice phone number listed in the NPPES registry for Kelly Stark is (208) 346-7500.

Is Kelly Stark's NPI active?

Yes — Kelly Stark's NPI (1114343985) is active in the NPPES registry as of the last update on 2025-11-25.

IndividualActive

Kelly Stark

NPI 1114343985 · Social Worker · Ammon, ID

Kelly Stark is a Social Worker provider in Ammon, ID (NPI 1114343985).

Provider details

NPI number: 1114343985
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No
License: LMSW-33495 (ID)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense LMSW-33495 (ID)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2705 E 17th St

Ammon, ID 83406-6669

Phone: (208) 346-7500

Fax: (208) 346-7501

Street-level locationGet directions

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Mailing address