Healthcare Provider Details
I. General information
NPI: 1821608225
Provider Name (Legal Business Name): PATRICK CONNER SHARP DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/31/2020
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
430 MONTBROOK LN STE 203
KNOXVILLE TN
37919-2715
US
IV. Provider business mailing address
127 N JOHN SIMS PKWY UNIT B
VALPARAISO FL
32580-1005
US
V. Phone/Fax
- Phone: 865-337-5574
- Fax: 865-313-2461
- Phone: 850-696-0363
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH13173 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: