Individual
KATHRYN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDCA
Contact information
Practice address
2951 MAPLE AVE, ZANESVILLE, OH 43701-1406
(740) 454-5927
Mailing address
3595 PENNY LANE, ZANESVILLE, OH 43701
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
175246
OH
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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