Kerry Short NP

NPI 1720394372 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1720394372
Gender Female
Enumeration Date 08/20/2010
Last Updated 10/14/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
9200 W WISCONSIN AVE
TRAUMA SURGERY
MILWAUKEE WI, 53226-3522, US
Phone (414) 805-8623
Fax (414) 805-8641
Business Location
9200 W WISCONSIN AVE
TRAUMA SURGERY
MILWAUKEE WI, 53226-3522, US
Phone (414) 805-8623
Fax (414) 805-8641
Toxanomy
Taxonomy Code 363L00000X
License State Wisconsin
License Number 121125
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According to our database, Kerry Short NP NPI is 1720394372, taxonomy code is 363L00000X and license number is 121125, license state is located at Wisconsin. Kerry Short NP physically located at 9200 W Wisconsin Ave, Milwaukee WI, 53226-3522. NPI Number Kerry Short NP has the Individual type.

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1720394372 NPI number is provided on an as is basis without warranty of any kind. 1720394372 is maintained by the National Plan & Provider Enumeration System. The contents of Kerry Short NP are for informational purposes only.