Short, Kimberly

Short, Kimberly is an individual health care provider with primary practice located at 806 Ellis Ave , Newtown Square PA 19073-3906. 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, Kimberly can be contacted via phone (610) 772-1911.

Contact Information

Primary practice address
806 Ellis Ave Newtown Square PA 19073-3906
Phone: (610) 772-1911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN529138L Pennsylvania

Profile Details

NPI number 1740878545
LBN Legal business name Short, Kimberly
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2021
Last updated Mar 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740878545 NPPES
Pennsylvania Other SP023469 BOARD OF NURSING

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