Individual
DR. CALLIE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
434 W WALNUT ST, DANVILLE, KY 40422
(859) 239-0022
(859) 239-0044
Mailing address
434 W WALNUT ST, DANVILLE, KY 40422-1846
(859) 239-0022
(859) 239-0044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4676
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213281
ANTHEM
KY
01
—
620702
ACN
KY
05
—
85001923
—
KY
Enumeration date
03/29/2006
Last updated
10/06/2022
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