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Ethan Short, MD
NPI 1629502604 · on the registry since 2017 · sole proprietor
Practice
- Address
- 228 Delmont Ave
Louisville, KY 40206 - Phone
- (502) 619-0636
Additional practice sites
- 5722 Outer Loop, Louisville, KY
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Also registered as
- Psychiatry
Psychiatry
208D00000X
390200000X - Licence states on file
- IN, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky