Individual
DR. KEVIN MARK SHARP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
173 JONESTOWN RD, WINSTON-SALEM, NC 27104-4616
(336) 768-7227
(336) 768-3802
Mailing address
173 JONESTOWN RD, WINSTON-SALEM, NC 27104-4616
(336) 768-7227
(336) 768-3802
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
19279
CA
111N00000X
Chiropractor
Primary
1929
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790279A
—
NC
Enumeration date
09/21/2005
Last updated
07/08/2007
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