Individual
KELLY MARIE SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 476-7111
Mailing address
2555 N JENSEN LN, LIBERTYVILLE, IL 60048-1156
(847) 331-8567
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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