Kyle Short's National Provider Identifier (NPI) Details
Kyle Short,
NPI: 1073199048
Enumeration Date: 2021-03-22
Last updated: 2021-03-22
Sole Proprietor: YES
Status: active
Postal Address: 2500 QUANTUM LAKES DR STE 105, BOYNTON BEACH, FL
Phone: 561-770-1780
Primary Practice Address: 2500 QUANTUM LAKES DR STE 105, BOYNTON BEACH, FL
Practice's phone: 561-770-1780