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Individual
MR. KENNETH JAMES SHORTT
Active
Individual
MR. KENNETH JAMES SHORTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023011921
MO
207R00000X
Internal Medicine Physician
326587
LA
207R00000X
Internal Medicine Physician
Primary
A202629
CA
Other
Enumeration date
04/19/2018
Last updated
01/09/2026
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