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Individual

KIRSTEN K BRADFORD SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1055 DOVE RUN RD, LEXINGTON, KY 40502-3536
(859) 268-0061
(859) 266-1152
Mailing address
1055 DOVE RUN RD, LEXINGTON, KY 40502-3536
(859) 268-0061
(859) 266-1152

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
781
WV
363AM0700X
Medical Physician Assistant
Primary
PA1180
KY
363AM0700X
Medical Physician Assistant
TC079
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95004255
KY
Enumeration date
08/31/2006
Last updated
10/19/2009
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