| Doctor Name: | MICHELE MILLER SHARP |
| NPI Number: | 1346229465 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | 15-01083 |
| Business Practice Address: | 200 East Pack Moundridge, KS - 67107 |
| Business Phone Number: | 6203456322 |
| Business Fax Number: | 6203453038 |
| Mailing Address: | 200 East Pack, MOUNDRIDGE |
| State: | KS |
| Postal Code: | 67107 |
| Phone Number: | 6203456322 |
| Fax Number: | 6203453038 |
| NPI Enumeration Date: | 01/17/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 15-01083 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |