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Kevin Thomas Slater, PA-C

Physician Assistant in Pinehurst, NC. Individual provider (NPI-1).

NPI number1790792604
StatusActive
Last updated in NPPESSep 11, 2018

Details

NPI
1790792604
Entity type
Individual (NPI-1)
Name
Kevin Thomas Slater
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Aug 2, 2006
Last updated
Sep 11, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant103674NCYes

Practice location

5 First Village Drive
Pinehurst, NC 28374

Phone 910-295-6831 · Fax 910-295-0244

Mailing address

5 Firstvillage Drive
Po Box 2000
Pinehurst, NC 28374

Phone 910-295-6831 · Fax 910-295-0244

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