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Contact Information

KENNETH C SLATER, MD
113 SHORT ST
POUNDING MILL, VA24637-4278
 Phone: 540-212-6090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for KENNETH C SLATER · (Male)

NPI Number 1598710170
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 09/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101051566
  • VA Medicaid PENDING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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