Provider Demographics
NPI:1518670082
Name:SHARP, KIERRA J
Entity Type:Individual
Prefix:MRS
First Name:KIERRA
Middle Name:J
Last Name:SHARP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 GREEN ACRES DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43031-7535
Mailing Address - Country:US
Mailing Address - Phone:614-353-1980
Mailing Address - Fax:
Practice Address - Street 1:6047 FRANTZ RD STE 202
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3366
Practice Address - Country:US
Practice Address - Phone:614-353-1980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, Medical