Individual
KATE L SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1441 N GARDNER ST, SCOTTSBURG, IN 47170-7751
(812) 752-4055
(812) 752-4188
Mailing address
PO BOX 677, SCOTTSBURG, IN 47170-0677
(812) 752-4055
(812) 752-4188
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004236A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000991689
ANTHEM PIN
IN
05
—
201150620
—
IN
Enumeration date
01/17/2013
Last updated
03/05/2026
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