Individual
KEVIN SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 LAKESHORE DR, VINITA, OK 74301-6753
(918) 770-6783
Mailing address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
(918) 825-1405
(918) 825-1406
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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