Short, Kerry
Short, Kerry is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Trauma Surgery, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Short, Kerry can be contacted via phone (414) 805-8623.Contact Information
Primary practice address
9200 W Wisconsin Ave Trauma Surgery
Milwaukee WI 53226-3522
Phone: (414) 805-8623
Fax: (414) 805-8641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 121125 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 121125 | Wisconsin |
Profile Details
| NPI number | 1720394372 |
|---|---|
| LBN Legal business name | Short, Kerry |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2010 |
| Last updated | Nov 22nd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720394372 | NPPES |
| Wisconsin | MEDICAID | 100014570 |
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