Individual
KEVIN M SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23893
MD
225100000X
Physical Therapist
Primary
J10002241
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184822116
TRICARE CHAMPUS
—
01
—
P01052105
MEDICARE RAILROAD
MD
Enumeration date
07/11/2007
Last updated
08/15/2017
Update your record
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