Individual
DR. SHARON N NEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
RT. 3 NORTH, MARTIN COUNTY MEDICAL COMPLEX, INEZ, KY 41224-0310
(606) 298-7758
(606) 298-7759
Mailing address
PO BOX 310, INEZ, KY 41224-0310
(606) 298-7758
(606) 298-7759
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6680
KY
1223G0001X
General Practice Dentistry
Primary
6680
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45602802
EPSDT
KY
05
—
60066800
—
KY
Enumeration date
12/29/2006
Last updated
12/17/2007
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