Individual
KENNETH S SHARLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5528 N FARMER BRANCH RD, OZARK, MO 65721-5315
(417) 485-4330
(417) 485-4424
Mailing address
5528 N FARMER BRANCH RD, OZARK, MO 65721-5315
(417) 485-4330
(417) 485-4424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2000160886
MO
2084N0400X
Neurology Physician
Primary
2000160886
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790749182
—
MO
05
—
205011711
—
MO
01
—
P00270477
RR MEDICARE
—
Enumeration date
04/13/2006
Last updated
12/01/2016
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