Slick, Keith Avery
Slick, Keith Avery is an individual health care provider with primary practice located at 100 Hospital Dr , Hendersonville NC 28792-5272. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Slick, Keith Avery can be contacted via phone (828) 650-8167.Contact Information
Primary practice address
100 Hospital Dr
Hendersonville NC 28792-5272
Phone: (828) 650-8167
Fax: (828) 687-0729
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 21305 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 165427 | North Carolina |
Profile Details
NPI number | 1306957857 |
---|---|
LBN Legal business name | Slick, Keith Avery |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Dec 13th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306957857 | NPPES |
South Carolina | MEDICAID | PENDING | |
South Carolina | Other | P00662403 | |
South Carolina | MEDICAID | 8052769 |
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