Doctor Name: | KEVIN SHARPE |
NPI Number: | 1316328644 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 203 Lakeshore Dr Vinita, OK - 743016753 |
Business Phone Number: | 9187706783 |
Business Fax Number: | |
Mailing Address: | 231 E Graham Ave, PRYOR |
State: | OK |
Postal Code: | 743612436 |
Phone Number: | 9188251405 |
Fax Number: | 9188251406 |
NPI Enumeration Date: | 06/11/2015 |
NPI Last Update Date: | 06/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |