Individual
MR. LAURENCE KEVIN SHARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-4006
Mailing address
30 LANE OF ACRES, SICKLERVILLE, NJ 08081-3259
(856) 309-1415
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
UP006340C
PA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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