Organization
SALLI SMITH SLONE, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLI SMITH SLONE MD (OWNER/MD)
(859) 236-0916
Entity
Organization
Contact information
Practice address
111 DANIEL DRIVE, DANVILLE, KY 40422-2527
(859) 236-0916
(859) 236-0917
Mailing address
P O BOX 6, DANVILLE, KY 40423-0006
(859) 236-0916
(859) 236-0917
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
32347
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6435
MEDICARE GROUP
KY
05
—
65907677
—
KY
Enumeration date
10/15/2007
Last updated
01/23/2012
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