Individual
KAYE SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2481 VALLEYDALE RD, HOOVER, AL 35244-2082
(205) 515-0258
Mailing address
1956 JANEWAY PASS, HOOVER, AL 35244-4716
(205) 515-0258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2405
AL
261QP2000X
Physical Therapy Clinic/Center
PTH2405
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-01665
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
06/16/2006
Last updated
01/21/2025
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