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NPI Code Detail

MEDICARE: KEVIN L SHARRETT MD

MEDICARE: KEVIN L SHARRETT 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
1207Q00000XFamily Medicine Physician35.063798OH

Other Identifiers

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

General Provider Information

NPI Number : 1528007754
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN L SHARRETT MD
Provider Business Mailing Address
First Line : 50 N PROGRESS DR
Second Line :
City : XENIA
State : OH
Zip : 45385-2666
Country : US
Telephone Number : 937-675-2870
Fax Number : 937-675-2873
Provider Business Practice Location Address
First Line : 50 N PROGRESS DR
Second Line :
City : XENIA
State : OH
Zip : 45385-2666
Country : US
Telephone Number : 937-675-2870
Fax Number : 937-675-2873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 11/23/2020

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Directions to “ KEVIN L SHARRETT MD” Practice Location

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