According to our database, the NPI number for Kenneth Dale Slack M.D. is 1548375637 and activated since 17 years ago. Kenneth Dale Slack M.D. is an individual provider who specializes in Specialist, and the primary practice location is 211 Saint Francis Dr, Cape Girardeau, MO 63703. You can also contact Kenneth Dale Slack M.D. via telephone number is (573) 339-1166. Provider NPI information was last updated on 02/26/2021.

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Overview of Kenneth Dale Slack M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/20/2006
  • Last updated: 02/26/2021

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: MD2003-0686
  • License State: NM

Provider Mailing Address

  • Address: Po Box 801143
    Kansas City, MO 64180
  • Phone: 573-331-5583
  • Fax: 573-331-5079

Provider Practice Location

  • Address: 211 Saint Francis Dr
    Cape Girardeau, MO 63703
  • Phone: 573-339-1166
  • Fax: 573-339-7166

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: MD2003-068
  • License State: NM
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 41035259
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NM
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth Dale Slack M.D.?
  • A: The npi number for Kenneth Dale Slack M.D. is 1548375637.
  • Q: What are Kenneth Dale Slack M.D.'s specialties?
  • A: Kenneth Dale Slack M.D.'s specialties are Specialist and different specialities.
  • Q: What is the medical license for Kenneth Dale Slack M.D.?
  • A: The medical license number for Kenneth Dale Slack M.D. is MD2003-0686 and issued in NM in USA.
  • Q: Where is Kenneth Dale Slack M.D. practice location?
  • A: Kenneth Dale Slack M.D. is practicing at 211 Saint Francis Dr, Cape Girardeau, MO 63703.
  • Q: How to contact Kenneth Dale Slack M.D.?
  • A: You can contact Kenneth Dale Slack M.D. via 573-339-1166.