Individual
MRS. TRACI YOUNG SHARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 CASEY ST STE A, CAMPBELLSVILLE, KY 42718-6858
(270) 465-7768
(270) 465-1351
Mailing address
807 GREENSBURG ST, COLUMBIA, KY 42728-1737
(270) 250-4217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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