Individual
KEITH T. SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15 E 3RD ST, MAYSVILLE, KY 41056-1148
(606) 564-3650
(606) 564-3651
Mailing address
15 E 3RD ST, MAYSVILLE, KY 41056-1148
(606) 564-3650
(606) 564-3651
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
822DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77008225
—
KY
Enumeration date
11/16/2006
Last updated
08/27/2009
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