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NPI Code Detail

MEDICARE: ALISON SMITH SHARPE D.O.

MEDICARE:   ALISON SMITH SHARPE  D.O.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RG0100XGastroenterology Physician03855KY
3207R00000XInternal Medicine Physician03855KY

Other Identifiers

General Provider Information

NPI Number : 1750647731
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON SMITH SHARPE D.O.
Provider Business Mailing Address
First Line : PO BOX 909
Second Line :
City : LOUISVILLE
State : KY
Zip : 40201-0909
Country : US
Telephone Number : 502-589-6788
Fax Number : 502-589-5093
Provider Business Practice Location Address
First Line : 3999 DUTCHMANS LN STE 7B
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-4742
Country : US
Telephone Number : 502-896-4711
Fax Number : 502-896-4791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2012
Last Update Date : 10/27/2020

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