Provider Demographics
NPI:1528104122
Name:KEITH, SHARON C (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:C
Last Name:KEITH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9101 KANIS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6417
Mailing Address - Country:US
Mailing Address - Phone:501-801-1200
Mailing Address - Fax:501-801-1207
Practice Address - Street 1:9101 KANIS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6417
Practice Address - Country:US
Practice Address - Phone:501-801-1200
Practice Address - Fax:501-801-1207
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
ARC7300207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR54842Medicare ID - Type Unspecified
E93533Medicare UPIN