Individual
DR. KEITH R SLAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1935 BLUEGRASS AVE STE 200, LOUISVILLE, KY 40215-1181
(502) 214-3396
Mailing address
1935 BLUEGRASS AVE STE 200, LOUISVILLE, KY 40215-1181
(502) 364-0033
(502) 361-4488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2074DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300050542
—
IN
05
—
7100499100
—
KY
Enumeration date
07/17/2017
Last updated
06/10/2021
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