Individual
DR. KEITH R SLAYMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1803 1ST AVE SE, CEDAR RAPIDS, IA 52402-5434
(319) 363-2566
Mailing address
1803 1ST AVE SE, CEDAR RAPIDS, IA 52402-5434
(319) 363-2566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IA06531
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0286039
—
IA
01
—
30557
WELLMARK BCBS
IA
01
—
371458044
US GOV TAX ID #
—
Enumeration date
05/02/2006
Last updated
01/19/2011
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