Individual
KERRY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, TRAUMA SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Mailing address
9200 W WISCONSIN AVE, TRAUMA SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
121125
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
121125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100014570
—
WI
Enumeration date
08/20/2010
Last updated
11/22/2021
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