Provider Demographics
NPI:1003600982
Name:STARKEY, MIA MICHELLE
Entity type:Individual
Prefix:
First Name:MIA
Middle Name:MICHELLE
Last Name:STARKEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7935 SERVIA ELMIRA RD
Mailing Address - Street 2:
Mailing Address - City:DUCK
Mailing Address - State:WV
Mailing Address - Zip Code:25063-9264
Mailing Address - Country:US
Mailing Address - Phone:304-844-2309
Mailing Address - Fax:
Practice Address - Street 1:7935 SERVIA ELMIRA RD
Practice Address - Street 2:
Practice Address - City:DUCK
Practice Address - State:WV
Practice Address - Zip Code:25063-9264
Practice Address - Country:US
Practice Address - Phone:304-844-2309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant