Individual
KENNETH A SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3531 MARY ADER AVE, CHARLESTON, SC 29414-5896
(843) 352-0674
Mailing address
PO BOX 63350, CHARLOTTE, NC 28263-0001
(843) 352-0674
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10062
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100624
—
SC
Enumeration date
08/21/2006
Last updated
01/13/2015
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