Individual
MRS. KACIE BOWLES SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3438 TAYLOR BLVD, LOUISVILLE, KY 40215-2648
(502) 322-0755
Mailing address
116 S HITE AVE, LOUISVILLE, KY 40206-2515
(502) 322-0755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9473
KY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
06/03/2015
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