RANDE KENT SHORT

COLORADO SPRINGS, CO
NPI1831177039
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CO  26031)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IA  MD45722)
Enumeration Date2006-01-06
Last Update Date2019-01-31
Business Address
RANDE KENT SHORT MD
15680 WILDWOOD CT
COLORADO SPRINGS, CO 80921-3740
Phone number: 814-746-2420
Mailing Address
RANDE KENT SHORT MD
15680 WILDWOOD CT
COLORADO SPRINGS, CO 80921-3740
Phone number: 814-746-2420