Individual
DR. KEVIN D SLENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
429 W WALNUT ST, LEBANON, KY 40033-1346
(502) 868-5617
(502) 570-5610
Mailing address
429 W WALNUT ST, LEBANON, KY 40033-1346
(502) 868-5617
(502) 570-5610
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01045043A
IN
208600000X
Surgery Physician
Primary
47235
KY
208600000X
Surgery Physician
ME109212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003826400
—
FL
05
—
200092810
—
IN
01
—
ME109212
ST LICENSE
FL
Enumeration date
04/14/2006
Last updated
07/16/2014
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