Kerry L Short, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

20965 Issued in KY

Legal business name

KERRY L SHORT, M.D.

Practice address

4001 Kresge Way Ste 315
Louisville, KY 40207-4640

Phone

(502) 897-7416

Fax

(502) 895-6638

NPI assigned

Dec 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kerry Lynn Shory, M.D.

Title

Owner

Phone

(502) 897-7416

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerry Lynn Short, M.D.

  • Pediatric Urology Physician
  • Louisville, KY
  • NPI 1902879901
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1962686261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KRESGE WAY STE 315",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074640",
            "telephone_number": "502-897-7416",
            "fax_number": "502-895-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KRESGE WAY STE 315",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074640",
            "telephone_number": "502-897-7416",
            "fax_number": "502-895-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY L SHORT, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "SHORY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-897-7416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "KY",
            "license": "20965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64209653",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Elizabeth Kerley, MD
• Kimberly A Kernek, M.D.
• Laura Steffen Kerns, O.D.
• Leann Kerr, PT, CBIS, DHS
• Stanley V Kerr Jr., ORTHOTIST, OPA-C
• Christopher Kersey, D.M.D.
• Jordan Taylor Kersey
• Mercy Kershner
• Morgan Elizabeth Kersnick, MS, OTR/L
• David Marion Kersting, MSN APRN CEN FNP-BC

• Urology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Urology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.