Kim E Short , ARNP, CPNP
Nurse Practitioner - Pediatrics • Clinton, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kim Short has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kim Short, ARNP, CPNP was a registered Nurse Practitioner - Pediatrics practicing in Clinton, OK. Throughout an active medical career spanning 19 years, Kim Short provided care at the practice location at 3030 CUSTER AVE until profile deactivation on 2026-03-19.
Practice Location & Contact Primary Location
3030 Custer Ave
Clinton, OK 736019117
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner - Pediatrics in Clinton, OK
Practicing in Clinton, OK (182 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363LP0200X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 19, 2026
NPI status registered as active in NPPES database
Registered at 3030 CUSTER AVE, CLINTON, OK 736019117 (Tel: 5803232100)
Registered at 1404 E QUAIL AVE, WEATHERFORD, OK 730962536 (Tel: 5807740910)
Recorded as KIM SHORT, ARNP, CPNP
Nurse Practitioner (License #R 43045 B0063683 in OK)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1404 E Quail Ave
Weatherford, OK 730962536
Phone: 5807740910
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