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Contact Information

KENNETH SLATER
18 CONSTITUTION DR STE 10
BEDFORD, NH03110-6076
 Phone: 603-668-5200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
 

Addiction Medicine

207LA0401X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for KENNETH SLATER · (Male)

NPI Number 1417161803
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NH License # 9025
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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