National Provider Identifier
Kennetha C Short, LPN
Kennetha C Short, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 755-0494.
Profile Overview
- NPI
- 1760077465
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 04, 2021
- Last Updated
- March 04, 2021
Practice Location
- 11 Shadywood Dr
- Rochester, NY 14606-4920
Phone: (585) 755-0494
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1760077465
- Entity Type
- Individual
- Last Name
- Short
- First Name
- Kennetha
- Middle Name
- C
- Credential
- LPN
- Mailing Street Address
- 11 Shadywood Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-4920
- Mailing Country
- US
- Mailing Phone
- (585) 755-0494
- Practice Street Address
- 11 Shadywood Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-4920
- Practice Country
- US
- Practice Phone
- (585) 755-0494
- Enumeration Date
- March 04, 2021
- Last Updated
- March 04, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 04, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)