Individual
KATHY LYNNE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
349 ISLAND RD, BRISTOL, VA 24201-7009
(276) 469-4200
(276) 469-4249
Mailing address
349 ISLAND RD, BRISTOL, VA 24201-7009
(276) 469-4200
(276) 469-4249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024171902
VA
363L00000X
Nurse Practitioner
5498
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3901278
—
TN
Enumeration date
08/25/2005
Last updated
02/02/2015
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