Slattery, Kimberly A

Slattery, Kimberly A is an individual health care provider with primary practice located at 5734 Coventry Ln , Fort Wayne IN 46804-7141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Slattery, Kimberly A can be contacted via phone (260) 436-7875.

Contact Information

Primary practice address
5734 Coventry Ln Fort Wayne IN 46804-7141
Phone: (260) 436-7875
Fax: (260) 432-9812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 275603 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704242032 Michigan

Profile Details

NPI number 1255512687
LBN Legal business name Slattery, Kimberly A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2007
Last updated Jun 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255512687 NPPES
Ohio Other P00477902 MEDICARE RAILROAD

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