Short, Kerry Lynn
Short, Kerry Lynn is an individual health care provider with primary practice located at 4001 Kresge Way , Louisville KY 40207-4640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Short, Kerry Lynn can be contacted via phone (502) 897-7416.Contact Information
Primary practice address
4001 Kresge Way
Louisville KY 40207-4640
Phone: (502) 897-7416
Fax: (502) 895-6638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 20965 | Kentucky |
Profile Details
| NPI number | 1902879901 |
|---|---|
| LBN Legal business name | Short, Kerry Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Apr 12th, 2021 - about 5 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 | 1902879901 | NPPES |
| Kentucky | MEDICAID | 64209653 |
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