Sharp, Kevin Mark

Sharp, Kevin Mark is an individual health care provider with primary practice located at 173 Jonestown Rd , Winston-Salem NC 27104-4616. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sharp, Kevin Mark can be contacted via phone (336) 768-7227.

Contact Information

Primary practice address
173 Jonestown Rd Winston-Salem NC 27104-4616
Fax: (336) 768-3802
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1929 North Carolina
Chiropractic Providers / Chiropractor 111N00000X 19279 California

Profile Details

NPI number 1568458057
LBN Legal business name Sharp, Kevin Mark
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568458057 NPPES
North Carolina MEDICAID 790279A

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