Individual provider · NPI-1

Kewa Short

Emergency Medical Technician, Paramedic · New Orleans, LA

NPI number1780151282
StatusActive
Last updated in NPPESNov 1, 2018

Details

NPI
1780151282
Entity type
Individual (NPI-1)
Name
Kewa Short
Sex
Female
Sole proprietor
No
Enumeration date
Nov 1, 2018
Last updated
Nov 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
146L00000X Emergency Medical Technician, Paramedic––Yes

Practice location

5901 Alfred St
New Orleans, LA 70122-2025

Phone 504-248-8486

Mailing address

5901 Alfred St
New Orleans, LA 70122-2025

Phone 504-248-8486

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