Individual
MISS KYLA ELIZABETH SHORT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-6877
Mailing address
4734 LIBERTY ST, KANSAS CITY, MO 64112-1121
(816) 820-7881
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13855
KS
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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