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Contact Information

KATHY D SHORT, DO
828 LANE ALLEN RD STE 219
LEXINGTON, KY40504
 Phone: 177-821-5773
 Fax: 317-780-5538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KATHY D SHORT · (Female)

NPI # 1285660274
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/23/2006
Last updated 10/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 03329
  • OH License # 34007335S
  • KY Medicaid 7100147240
  • KY Other 000000694607 ANTHEM
  • KY Other 50031082 PASSPORT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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