Organization
BEN L. SHORT, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN LEE SHORT M.D. (PRESIDENT)
(620) 221-7669
Entity
Organization
Contact information
Practice address
1230 E 6TH AVE, SUITE 2B, WINFIELD, KS 67156-3143
(620) 221-7669
(620) 221-7609
Mailing address
1230 E 6TH AVE, SUITE 2B, WINFIELD, KS 67156-3143
(620) 221-7669
(620) 221-7609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110868
BC/BS
KS
Enumeration date
06/14/2006
Last updated
08/22/2020
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