Individual
DR. KIMBERLY K SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8455 CLEARVISTA PLACE, INDIANAPOLIS, IN 46256-2419
(317) 913-3260
Mailing address
8455 CLEARVISTA PLACE, INDIANAPOLIS, IN 46256-2419
(317) 913-3260
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
01044584A
IN
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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