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KERRY L SHORT M.D. NPI 1962686261


NPI Information

NPI: 1962686261
Provider Name: KERRY L SHORT, M.D.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
4001 KRESGE WAY STE 315
LOUISVILLE, KY
ZIP 40207
Phone: (502) 897-7416
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KERRY L SHORT, M.D. is an urology in Louisville, KY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. KERRY L SHORT, M.D. NPI is 1962686261. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4001 KRESGE WAY STE 315
LOUISVILLE, KY
ZIP 40207-640
Phone: (502) 897-7416
Fax: (502) 895-6638

The provider's authorized official is Kerry Lynn Shory .
The authorized official title is Owner and has the following contact phone number (502) 897-7416.

The enumeration date for this NPI number is 12/21/2007 and was last updated on 12/21/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology20965KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C71584MEDICARE UPINKENTUCKY
21879502MEDICARE PINKENTUCKY
364209653MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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