Individual
DR. KEIMUN A SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1072 TROY SCHENECTADY RD, LATHAM, NY 12110-1019
(518) 786-7000
Mailing address
2301 ERWIN RD, DURHAM, NC 27710-0001
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
279519
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04156718
—
NY
Enumeration date
04/13/2009
Last updated
09/24/2018
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