Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN SHORT, MD
Active Sole ProprietorETHAN SHORT, MD is a Psychiatry healthcare provider located in LOUISVILLE, Kentucky. NPI 1629502604 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · LOUISVILLE, KY
Registration Details
- NPI Number
- 1629502604
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2017 (9.2933024395525 yrs)
- Last Updated
- Aug 22, 2023
- Licenses
-
01091358A (IN)R4865 (KY)54489 (KY)54489 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
228 DELMONT AVELOUISVILLE, KY, 402061025Browse KY providers · Browse ZIP 40206
- Phone
- 5026190636
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
- Additional Specialty
- General Practice
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| ROBERT A TODD | M.D. | 1770586711 |
| ADRIAN J PELLEGRINI | M.D. | 1063415099 |
| MRS. SHEILA LYNN ROBERTS | MD | 1588667505 |
| DR. P JOEL VELASCO | MD | 1629073952 |
| DR. ANGELITA GLEAN-FRANCIA | MD | 1164427191 |
| DR. ERIC LYDON | MD | 1609873579 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.