Individual
RANDE KENT SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15680 WILDWOOD CT, COLORADO SPRINGS, CO 80921-3740
(814) 746-2420
Mailing address
15680 WILDWOOD CT, COLORADO SPRINGS, CO 80921-3740
(814) 746-2420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26031
CO
207Q00000X
Family Medicine Physician
MD45722
IA
Other
Enumeration date
01/06/2006
Last updated
01/31/2019
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