Kimberly Deann Slaughter
Contractor in Albany, GA. Individual provider (NPI-1).
NPI number1184124232
StatusActive
Last updated in NPPESFeb 15, 2018
Details
- NPI
- 1184124232
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Deann Slaughter
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 15, 2018
- Last updated
- Feb 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 050982278 | GA | Yes |
Practice location
2313 Katy CtAlbany, GA 31707-6696
Phone 229-449-5146
Mailing address
2313 Katy CtAlbany, GA 31707-6696
Phone 229-449-5146
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