Short, Kelly Dawn
Short, Kelly Dawn is an sole proprietor health care provider with primary practice located at 320 Hospital Dr , Martinsville VA 24112-1900. 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 / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Short, Kelly Dawn can be contacted via phone (276) 634-4977.Contact Information
Primary practice address
320 Hospital Dr
Martinsville VA 24112-1900
Phone: (276) 634-4977
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0024183095 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024183095 | Virginia |
Profile Details
| NPI number | 1609539444 |
|---|---|
| LBN Legal business name | Short, Kelly Dawn |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2021 |
| Last updated | Nov 30th, 2022 - 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.
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