Individual
KELSEY SLOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 PINE ST, MOUNT SHASTA, CA 96067-2143
(530) 926-7131
Mailing address
912 PINE ST, MOUNT SHASTA, CA 96067-2143
(530) 926-7131
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A160036
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2015
Last updated
08/23/2022
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