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Individual

DR. WENDY JO SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
Mailing address
7376 SOLUTION CTR, CHICAGO, IL 60677-7003
(606) 408-4000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38979
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
38979
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64091127
KY
Enumeration date
09/20/2005
Last updated
10/29/2012
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