Individual
DR. SUSAN CARPENTER SHARP
Active
Individual
DR. SUSAN CARPENTER SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
05-29893
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200327700A
—
KS
01
—
207404302
MEDICAID
MO
01
—
35872011
BLUE CROSS
KS
Enumeration date
12/08/2006
Last updated
09/28/2011
Update your record
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