Kent Patrick Sheridan
Sports Medicine Orthopaedic Surgeon
2725 Capitol Ave Dept 302
Sacramento
, California 95816-6006
Kent Patrick Sheridan
Sports Medicine Orthopaedic Surgeon
2725 Capitol Ave Dept 302
Sacramento
, California 95816-6006
(800) 470-0071
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Kent Patrick Sheridan
- 10470 Old Placerville Rd Ste 100
- Sacramento, CA
- Zip : 95827-2539
- Phone : (800) 470-0071
Second Address
- Kent Patrick Sheridan
- 2725 Capitol Ave Dept 302
- Sacramento, CA
- Zip : 95816-6006
- Fax : (916) 262-9445
- Phone : (916) 262-9440
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A118669 | CA |
National Provider Identifier
| NPI | 1023339298 |
|---|---|
| Provider Name | Kent Patrick Sheridan |
| First Address | Sacramento, CA 95827-2539 |
| Second Address | Sacramento, CA 95816-6006 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2010 |
| Last Update Date | 30/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.