Kerry L Short, M.D.

LBN: Kerry L Short, M.D.
Kerry L Short, M.D. is an health care organization with primary practice located at 4001 Kresge Way Ste 315 , Louisville KY 40207-4640. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Kerry L Short, M.D. can be contacted via phone (502) 897-7416, or through Shory, Kerry Lynn via phone (502) 897-7416.

Contact Information

Primary practice address
4001 Kresge Way Ste 315 Louisville KY 40207-4640
Fax: (502) 895-6638
Website:
Authorized official contact:
Name: Shory, Kerry Lynn Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 20965 Kentucky

Profile Details

NPI number 1962686261
LBN Legal business name Kerry L Short, M.D.
DBA Doing business as
Authorized official Shory, Kerry Lynn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2007
Last updated Dec 21st, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962686261 NPPES
Kentucky MEDICAID 64209653

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