Conway Short, Kerry L

Conway Short, Kerry L is an individual health care provider with primary practice located at 4375 Fair Lakes Ct , Fairfax VA 22033-4234. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Conway Short, Kerry L can be contacted via phone (571) 432-2600.

Contact Information

Primary practice address
4375 Fair Lakes Ct Fairfax VA 22033-4234
Phone: (571) 432-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0126002535 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT-794 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTL-10528 Colorado

Profile Details

NPI number 1417111816
LBN Legal business name Conway Short, Kerry L
Credentials DPT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2008
Last updated Apr 1st, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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