Individual
OLIVIA ROSE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 DARBY CREEK RD, LEXINGTON, KY 40509-1603
(859) 264-8796
Mailing address
466 HENRY CLAY BLVD, LEXINGTON, KY 40502-1001
(606) 923-5486
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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