Individual
WILLIAM JOSEPH SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7018
(606) 324-7083
(606) 324-9414
Mailing address
200 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7018
(606) 324-7083
(606) 324-9414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29564
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64295645
—
KY
Enumeration date
08/31/2006
Last updated
05/23/2024
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