Individual provider · Type 1 NPI

Kimberly Short

Licensed Practical Nurse · Ulster Park, NY

NPI number 1154721017 Active

Practice location

584 Poppletown Rd
Ulster Park, NY 12487-5425

Call (845) 224-7118 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X260250-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1154721017

Kimberly Short's National Provider Identifier is 1154721017, issued on Aug 28, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ulster Park, NY. The record was last updated on Aug 28, 2014.