Kelli J Short is a Family in Eden, Texas. Kelli J Short practices all healthcare services and medical treatments related to Family. The NPI Number for Kelli J Short is 1932177961. The last update date is 2011-11-15.
Kelli J Short's current location address is 551 Eaker Street, Eden, Texas. You can contact this provider via phone number 3258698811 and fax number 3258698899. The mailing address for Kelli J Short is 551 Eaker Street, Eden, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli J Short |
|---|---|
| Address | 551 Eaker Street, Eden, Texas |
| Phone Number | 3258698811 |
| Fax Number | 3258698899 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1932177961 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2011-11-15 |
Provider Mailing Address Detail
| Address | 551 Eaker Street |
|---|---|
| City | Eden |
| State | Texas (TX) |
| Post Code | 768370989 |
| Phone Number | 3258698811 |
| Fax Number | 3258698899 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 629727 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identification code assigned to Kelli J Short by the Centers for Medicare & Medicaid Services?
The Kelli J Short has been issued the NPI (National Provider Identifier) 1932177961. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kelli J Short's physical address?
The Kelli J Short is physically located at 551 Eaker Street, in the city of Eden, TX, with the postal code 768370989.
What is the Kelli J Short's specialty and taxonomy code?
The Kelli J Short's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Kelli J Short receive the assignment of its 1932177961 from the Centers for Medicare & Medicaid Services?
The Kelli J Short was issued its 1932177961 by the Centers for Medicare & Medicaid Services on 2006-03-08.
When was the Kelli J Short's information last updated?
The Kelli J Short's information was last updated on 2011-11-15.
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