Individual
KANDYCE R SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 NW 33RD ST, OKLAHOMA CITY, OK 73112-7629
(405) 651-1159
Mailing address
2645 NW 33RD ST, OKLAHOMA CITY, OK 73112-7629
(405) 651-1159
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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