Individual
DR. KEVIN G SHORTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2222
(757) 398-2020
Mailing address
7007 HARBOUR VIEW BLVD, SUITE 108, SUFFOLK, VA 23435-3657
(757) 215-2784
(757) 215-2728
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
232213
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101246279
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
232213
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
TL3674
WY
Other
Enumeration date
04/13/2006
Last updated
10/04/2016
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