Individual
CASONDRA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3490 N FOREST PARK ST, DERBY, KS 67037-4216
(316) 706-6750
Mailing address
3490 N FOREST PARK ST, DERBY, KS 67037-4216
(316) 706-6750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-135930-081
KS
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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