Individual
KRISTI SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2312 S DIXON RD STE 250, KOKOMO, IN 46902-6426
(765) 459-7275
(800) 805-4620
Mailing address
2925 BAGLEY DR W, KOKOMO, IN 46902-3256
(765) 210-2287
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002215A
IN
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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