Short, Kate L

Short, Kate L is an individual health care provider with primary practice located at 2502 25Th St , Columbus IN 47201-3728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Short, Kate L can be contacted via phone (812) 372-8883.

Contact Information

Primary practice address
2502 25Th St Columbus IN 47201-3728
Phone: (812) 372-8883
Fax: (812) 372-8964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004236A Indiana

Profile Details

NPI number 1558609099
LBN Legal business name Short, Kate L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2013
Last updated Jan 30th, 2020 - about 5 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 1558609099 NPPES
Indiana MEDICAID 201150620
Indiana Other 000000991689

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