Individual
KRISTOPHER MITCHELL SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Mailing address
5301 FARAON ST STE 120, SAINT JOSEPH, MO 64506-3512
(816) 271-6406
(816) 271-7986
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2003020380
MO
363L00000X
Nurse Practitioner
2022024067
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2022024067
MO
Other
Enumeration date
04/26/2022
Last updated
10/09/2024
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