Provider Demographics
NPI:1801260393
Name:SHARP, THOMAS LEE II (DO)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LEE
Last Name:SHARP
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-635-9440
Mailing Address - Fax:859-448-2622
Practice Address - Street 1:300 COMMERCIAL CIRCLE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:KY
Practice Address - Zip Code:41001
Practice Address - Country:US
Practice Address - Phone:596-359-4408
Practice Address - Fax:859-448-2622
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-20
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
KY04257207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program