Kelli Ann Stark, COTA/L is a
Occupational Therapist - Pediatrics based in Princeton, Missouri. Kelli Ann Stark is licensed to practice in Missouri (license number 2014001138) and her current practice location is
24998 Highway A, Princeton, Missouri. She can be reached at her office (for appointments etc.) via phone at
(660) 953-1246.
NPI number for Kelli Ann Stark is 1578424859 and her current mailing address is 24998 Highway A, Princeton, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578424859.
Healthcare Provider's Profile
| Full Name | Kelli Ann Stark |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist - Pediatrics |
|---|
| Location | 24998 Highway A, Princeton, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578424859
- Provider Enumeration Date: 11/18/2025
- Last Update Date: 11/18/2025
Medical Identifiers
Medical identifiers for Kelli Ann Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578424859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225XP0200X | Occupational Therapist - Pediatrics | 2014001138 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Ann Stark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kelli Ann Stark, COTA/L 24998 Highway A, Princeton, MO 64673-4687 Ph: () - | Kelli Ann Stark, COTA/L 24998 Highway A, Princeton, MO 64673-4687 Ph: (660) 953-1246 |
Reviews and Comments