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Individual

MICHELE MILLER SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
200 EAST PACK, MOUNDRIDGE, KS 67107
(620) 345-6322
(620) 345-3038
Mailing address
200 EAST PACK, MOUNDRIDGE, KS 67107
(620) 345-6322
(620) 345-3038

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01083
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15419
PREFERRED HEALTH SYSTEMS
KS
01
426960
BLUE CROSS BLUE SHIELD
KS
05
460684
KS
Enumeration date
01/17/2006
Last updated
07/09/2007
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