DR. KERRY LYNN SHORT


Address: 4001 Kresge Way, Louisville, KY 40207-4640
Phone: 5028977416

DR. KERRY LYNN SHORT (NPI# 1902879901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902879901
Entity Type Individual
Full Name DR. KERRY LYNN SHORT
Credential M.D.
Practice Address 4001 Kresge Way
Louisville
KY 40207-4640
Mailing Address 4001 Kresge Way
315
Louisville
KY 40207-4640
Practice Telephone 5028977416
Practice Fax Number 5028956638
Mailing Telephone 5028977416
Mailing Fax Number 5028956638
Enumeration Date 2006-02-09
Last Update Date 2007-12-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2088P0231X Urology
Specialization: Pediatric Urology
20965 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 64209653 05

Other Providers KERRY SHORT

NPI Name Taxonomy Address Enumeration
1720394372 Kerry Short Nurse Practitioner 9200 W Wisconsin Ave, Trauma Surgery, Milwaukee, WI 53226-3522 2010-08-20

Office Location

Street Address 4001 KRESGE WAY
City LOUISVILLE
State KY
Zip Code 40207-4640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710980842 Stacie Grossfeld Specialist 4001 Kresge Way, Ste 330, Louisville, KY 40207-4640 2005-05-23
1982144358 Orthopaedic Specialists Pllc Non-Pharmacy Dispensing Site 4001 Kresge Way, Suite 330, Louisville, KY 40207-4640 2017-03-03
1205283017 Olivia Price Physician Assistant 4001 Kresge Way, Ste 210, Louisville, KY 40207-4640 2016-05-22
1396117131 Graf Family Dentistry, Psc Dentist 4001 Kresge Way, Suite 120, Louisville, KY 40207-4640 2015-10-20
1952743940 Andrew D. Morris Physician Assistant 4001 Kresge Way, Suite 200, Louisville, KY 40207-4640 2013-07-19
1588922652 Steve P Kuric Md Pllc Neurological Surgery 4001 Kresge Way, Suite 238, Louisville, KY 40207-4640 2012-04-26
1053678359 Janet L Honchell Obstetrics & Gynecology 4001 Kresge Way, Suite 324, Louisville, KY 40207-4640 2012-04-12
1356620322 Baptist Medical Associates Surgery 4001 Kresge Way, Suite 210, Louisville, KY 40207-4640 2011-08-09
1104123041 Andrew D Bailey Md Clinical Nurse Specialist 4001 Kresge Way, Suite 130, Louisville, KY 40207-4640 2011-02-11
1558534859 Alberto Sebastian Gallo Surgery 4001 Kresge Way, Suite 200, Louisville, KY 40207-4640 2008-04-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780212688 Alexia Louise Bodamer Student in an Organized Health Care Education/Training Program 142 Chenoweth Lane, Lousiville, KY 40207 2020-03-28
1467918664 Amy Rock LLC Counselor 4010 Dupont Cir Ste 307, Louisville, KY 40207 2019-02-13
1649745191 Louisville Optometric Center, IIi, Psc Optometrist 285 Hubbards Lane, Suite 300, Louisville, KY 40207 2018-10-11
1184137440 Crimson Dove Counseling Services Inc Community/Behavioral Health 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 2017-11-09
1285157586 Dickerson Family Enterprise, LLC Non-emergency Medical Transport (VAN) 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 2017-07-19
1578085296 Cardiovascular Medical Specialists LLC Surgery 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 2017-07-14
1932636305 Devon Turley Prevention Professional 1017 Dupont Rd, Suite 1, Louisville, KY 40207 2017-05-17
1285095539 Emily Schwartz Crouch Marriage & Family Therapist 4010 Dupont Circle, Suite 582, Louisville, KY 40207 2016-03-15
1306201280 A A and Associates Approved Alcohol/drug Program Counselor 4006 Dutchmans Lane, Louisville, KY 40207 2015-12-21
1629433693 Jewish Hospital and St. Mary's Healthcare, Inc. General Acute Care Hospital 3290 Dutchmans Lane, Louisville, KY 40207 2015-12-17
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Taxonomy Information

Taxonomy Code 2088P0231X
Grouping Allopathic & Osteopathic Physicians
Classification Urology
Specialization Pediatric Urology

Taxonomy Definition

Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Notes: Source: American Academy of Pediatrics [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508297953 University of Louisville Research Foundation Urology 234 E Gray St, Suite 662, Louisville, KY 40202-1900 2013-12-11
1831434455 Eran Rosenberg Urology 4123 Dutchmans Ln, Suite 102, Louisville, KY 40207 2012-12-07
1245525773 Ahmad Zakaria Mohamed Urology 411 E Chestnut St, Louisville, KY 40202-1713 2011-06-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386939858 Amanda Feige Saltzman Urology 800 Rose St Rm Ms 237, Lexington, KY 40536-0298 2011-06-13
1023219425 Jackson Physician Corp Urology 1550 Highway 15 S Ste 27, Jackson, KY 41339-8604 2007-05-31

Competitor

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City LOUISVILLE
Zip Code 40207

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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