Benny Lee Short, M.D. Valid NPI

Individual provider · Emergency Medicine Physician · Dodge City, KS

NPI

1104854553

Type

Individual (Type 1)

Primary specialty

Emergency Medicine Physician (Emergency Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207P00000X

License number

04-28386 (KS)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-28

Last updated

2022-01-11