Kelley J Sharp is a Pediatrics in Dickson, Tennessee. Kelley J Sharp practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelley J Sharp is 1629071691. The last update date is 2023-07-12.
Kelley J Sharp's current location address is 207 E Rickert Ave, Dickson, Tennessee. You can contact this provider via phone number 6152605589 and fax number 6154460259. The mailing address for Kelley J Sharp is 207 E Rickert Ave, Dickson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley J Sharp |
|---|---|
| Address | 207 E Rickert Ave, Dickson, Tennessee |
| Phone Number | 6152605589 |
| Fax Number | 6154460259 |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1629071691 |
|---|---|
| Provider Enumeration Date | 2005-05-24 |
| Last Updated Date | 2023-07-12 |
Provider Mailing Address Detail
| Address | 207 E Rickert Ave |
|---|---|
| City | Dickson |
| State | Tennessee (TN) |
| Post Code | 3705513330 |
| Phone Number | 6152605589 |
| Fax Number | 6154460259 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | APN6660 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4058108 | TN | BLUE CROSS BLUE SHIELD TN | |
| Q081360 | TN | -- | |
| 500014527 | RAILROAD MEDICARE PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Kelley J Sharp by the Centers for Medicare & Medicaid Services?
The Kelley J Sharp has been assigned the NPI (National Provider Identifier) 1629071691. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kelley J Sharp?
The Kelley J Sharp is physically situated at 207 E Rickert Ave, in the city of Dickson, state of TN, with the postal code 3705513330.
What is the Kelley J Sharp's specialty and taxonomy code?
The Kelley J Sharp's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629071691 to Kelley J Sharp?
The Kelley J Sharp received its 1629071691 assignment from the Centers for Medicare & Medicaid Services on 2005-05-24.
When was the information regarding Kelley J Sharp most recently updated?
The details pertaining to the Kelley J Sharp, including its address, specialty, and other relevant information, were last refreshed on 2023-07-12.
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