Individual
DR. KELLY NICOLE SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
223 COUNTY ROAD 410, SOUTH POINT, OH 45680-7901
(740) 894-4023
(740) 894-4225
Mailing address
660 NORTH BLVD, HUNTINGTON, WV 25701-3232
(304) 617-5825
(740) 894-4225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5418/T2329
OH
Other
Enumeration date
09/15/2006
Last updated
01/29/2013
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