DR. Kelly Short, O.D.

NPI #1841642501 in Mt Juliet, Tennessee

Provider Information

NPI Number: 1841642501
Entity Type: Individual
Name: DR. Kelly Short, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 6, 2016
Last Updated: Jul 6, 2016

Practice Location

Address: 20 OLD PLEASANT GROVE RD
City: Mt Juliet
State: Tennessee
ZIP Code: 37122-3879
Phone: (615) 758-3833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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