Short, Benny Lee

Short, Benny Lee is an individual health care provider with primary practice located at 200 W Ross Blvd , Dodge City KS 67801-7221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Short, Benny Lee can be contacted via phone (620) 371-7300.

Contact Information

Primary practice address
200 W Ross Blvd Dodge City KS 67801-7221
Phone: (620) 371-7300
Fax: (620) 371-7304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-28386 Kansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 04-28386 Kansas

Profile Details

NPI number 1104854553
LBN Legal business name Short, Benny Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jan 11th, 2022 - about 3 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104854553 NPPES
Kansas Other 102645 BC/BS
Kansas MEDICAID 100354710C BC/BS
Kansas MEDICAID 100354710I BC/BS
Kansas MEDICAID 100354710H BC/BS

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