Dr. Kenneth Vernon Slack
Surgeon Emergency Physician
7727 Lake Underhill Rd
Orlando
, Florida 32822-8224
Dr. Kenneth Vernon Slack
Surgeon Emergency Physician
7727 Lake Underhill Rd
Orlando
, Florida 32822-8224
(407) 303-6413
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About
Features
Specialties
- Emergency Physician
- Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kenneth Vernon Slack
- 7727 Lake Underhill Rd
- Orlando, FL
- Zip : 32822-8224
- Phone : (407) 303-6413
Second Address
- Dr. Kenneth Vernon Slack
- 7727 Lake Underhill Rd
- Orlando, FL
- Zip : 32822-8224
- Phone : (407) 303-6413
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Is Dr. Kenneth Vernon Slack accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | ME119973 | FL |
| N | 207P00000X | Emergency Physician | TRN18079 | FL |
| N | 208200000X | Surgeon | 24792 | NE |
| N | 208600000X | Surgeon | 24792 | NE |
National Provider Identifier
| NPI | 1013169879 |
|---|---|
| Provider Name | Dr. Kenneth Vernon Slack |
| First Address | Orlando, FL 32822-8224 |
| Second Address | Orlando, FL 32822-8224 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2008 |
| Last Update Date | 06/04/2020 |
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.