Dr. Keimun A Slaughter
Facial Plastic Surgeon
1072 Troy Schenectady Rd
Latham
, New York 12110-1019
Dr. Keimun A Slaughter
Facial Plastic Surgeon
1072 Troy Schenectady Rd
Latham
, New York 12110-1019
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Keimun A Slaughter
- 2301 Erwin Rd
- Durham, NC
- Zip : 27710-0001
- Phone :
Second Address
- Dr. Keimun A Slaughter
- 1072 Troy Schenectady Rd
- Latham, NY
- Zip : 12110-1019
- Phone : (518) 786-7000
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Is Dr. Keimun A Slaughter a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 279519 | NY |
National Provider Identifier
| NPI | 1073756649 |
|---|---|
| Provider Name | Dr. Keimun A Slaughter |
| First Address | Durham, NC 27710-0001 |
| Second Address | Latham, NY 12110-1019 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2009 |
| Last Update Date | 24/09/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04156718 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.