Provider Demographics
NPI:1003367632
Name:SHARICK, KATHLEEN (DC)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:SHARICK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4491 SCHOOL RD S
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15632-1809
Mailing Address - Country:US
Mailing Address - Phone:724-519-8261
Mailing Address - Fax:724-519-8263
Practice Address - Street 1:159 BUTLER RD STE 2A
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-2328
Practice Address - Country:US
Practice Address - Phone:724-548-1040
Practice Address - Fax:724-519-8263
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor