Individual provider · Type 1 NPI

William Kenneth Slattery, DO

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1255191102 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Call (917) 510-4852 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X5151016574 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2,565 other providers at this address

Other student in an organized health care education/training program providers in Detroit

See all in Detroit →

About NPI 1255191102

William Kenneth Slattery, DO's National Provider Identifier is 1255191102, issued on Mar 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 17, 2024.