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Individual

SHARON DEBRA MENKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3050 HARRODSBURG RD, LEXINGTON, KY 40503-2747
(859) 277-6102
(859) 276-3677
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
28740
KY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
28749
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64287493
KY
Enumeration date
02/22/2006
Last updated
01/18/2024
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