Doctor Name: | PATRICK ANTONY SHERIDAN |
NPI Number: | 1003094624 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 27393 |
Business Practice Address: | 1025 Capital Center Drive Suite 300 Dept Of Juv Justice Frankfort, KY - 40601 |
Business Phone Number: | 5025732738 |
Business Fax Number: | 5025730836 |
Mailing Address: | 1025 Capital Center Drive, Suite 300 Dept Of Juv Justice FRANKFORT |
State: | KY |
Postal Code: | 40601 |
Phone Number: | 5025732738 |
Fax Number: | 5025730836 |
NPI Enumeration Date: | 02/06/2008 |
NPI Last Update Date: | 02/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0000X |
License Number: | 27393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |