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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1558609099 | NPPES |
| Indiana | MEDICAID | 201150620 | |
| Indiana | Other | 000000991689 |
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