Individual
KENNETH SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 CONSTITUTION DR STE 10, BEDFORD, NH 03110-6076
(603) 668-5200
Mailing address
18 CONSTITUTION DR STE 10, BEDFORD, NH 03110-6076
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
9025
NH
2084P0015X
Psychosomatic Medicine Physician
Primary
9025
NH
Other
Enumeration date
05/09/2007
Last updated
09/11/2025
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