Individual
KATHLEEN ANN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13640 STEELECROFT PKWY, STE 320, CHARLOTTE, NC 28278-7565
(704) 302-8900
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017-00239
NC
Other
Enumeration date
10/06/2006
Last updated
05/04/2023
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