Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 7177 | KY |
N | 1223G0001X | General Practice | 7177 | KY |
N | 213EG0000X | General Practice | 7177 | KY |
NPI | 1023037744 |
---|---|
Provider Name | Dr. Sherry Slone |
First Address | Hindman, KY 41822-8716 |
Second Address | Hazard, KY 41701-9469 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 29/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
60071776 | (05) | KY |