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General NPI Number Information
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NPI Number | 1740261767
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Entity Type | Individual
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Provider Name | RACHEL SHORT MD
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Gender | Female
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 153 W TOM T HALL BLVD
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City | OLIVE HILL
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State | KY
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Zip | 41164-5801
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Country | US
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Telephone | 606-898-3982
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Fax |
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Provider Business Mailing Address
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Address Line | 275 RACHEL ST
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City | OLIVE HILL
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State | KY
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Zip | 41164-8463
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Country | US
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Telephone | 859-494-0542
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 38956
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License Number State | KY
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