Individual
DR. KERRY LYNN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 KRESGE WAY, LOUISVILLE, KY 40207-4640
(502) 897-7416
(502) 895-6638
Mailing address
4001 KRESGE WAY, 315, LOUISVILLE, KY 40207-4640
(502) 897-7416
(502) 895-6638
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
20965
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64209653
—
KY
Enumeration date
02/09/2006
Last updated
04/12/2021
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