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General NPI Number Information
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NPI Number | 1891652392
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Entity Type | Individual
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Provider Name | KAYTLIN BROOKE SHORTT
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Gender | Female
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 240 HOSPITAL RD
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City | WHITESBURG
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State | KY
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Zip | 41858-7627
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Country | US
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Telephone | 606-633-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 6848 DEWEY RD
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City | POUND
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State | VA
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Zip | 24279-2912
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1268789
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License Number State | VA
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