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NPI Code Detail

MEDICARE: KEVIN CRONIN SHARKEY MD

MEDICARE: KEVIN CRONIN SHARKEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician200200172NC
2207RC0000XCardiovascular Disease Physician200200172NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467452128
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN CRONIN SHARKEY MD
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 704-343-9800
Fax Number : 704-347-2011
Provider Business Practice Location Address
First Line : 125 QUEENS RD STE 200
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-3578
Country : US
Telephone Number : 704-343-9800
Fax Number : 704-347-2011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 07/21/2023

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Directions to “ KEVIN CRONIN SHARKEY MD” Practice Location

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