21107 DONAHOO RD
TONGANOXIE, KS 66086-4153 US
Fredrick William Short
Family Medicine Physician
- TONGANOXIE, KS
- Phone: (913)-742-4084
- Last Updated 9/24/2013
Overview
Fredrick William Short is a Family Medicine Physician in the TONGANOXIE area. Fredrick William Short primary office location is at 21107 DONAHOO RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1780637868 and the information was updated approximately 11 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: NO
Contact Information
| License Number | State |
|---|---|
| 0520840 | KS |
| R4C55 | MO |
| Type/Issuer | Identifier | State |
|---|---|---|
| BCBS | 09549174 | - |
| MEDICAID | 100230280C | KS |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | KS | Y |
| Family Medicine Physician - Taxonomy Code 207Q00000X | MO | N |
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