Individual ProviderCallie ShortChiropractorChiropractic ProvidersPractice Address434 W Walnut St, Danville, KY 40422(859) 239-0022PECOS EnrollmentBased on the most recent information from CMS, provider Callie Short does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1699736694Provider TypeIndividualFull NameShort, CallieTitleDr.CredentialD.C.GenderFemaleSole ProprietorNoEnumeration Date3/29/2006Last Updated10/6/2022Contact InformationPractice LocationPractice Address434 W Walnut St, Danville, KY 40422Phone(859) 239-0022Fax(859) 239-0044Mailing LocationMailing Address434 W Walnut St, Danville, KY 40422-1846Phone(859) 239-0022Fax(859) 239-0044Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense4676KentuckyProvider IdentifiersIDDescriptionIssuerID620702DescriptionOtherIssuerACNKentuckyID85001923DescriptionMedicaidIssuerUnlistedKentuckyID000000213281DescriptionOtherIssuerANTHEMKentucky