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Kenneth Dale Slack, MD
Obstetrics & Gynecology Physician in Cape Girardeau, Missouri
NPI 1548375637

Kenneth Dale Slack is a Obstetrics & Gynecology Physician based in Kansas City, MO. Kenneth Dale Slack practices in Cape Girardeau, MO and has the professional credentials of MD. The NPI Number for Kenneth Dale Slack is 1548375637 and holds a License No. 2017031964 (Missouri).

The current practice location address for Kenneth Dale Slack is 211 Saint Francis Dr, Cape Girardeau, MO and can be reached out via phone at 573-339-1166 and via fax at 573-339-7166.

Location: 211 Saint Francis Dr, Cape Girardeau, MO, 64180-1143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548375637
Provider Name
Kenneth Dale Slack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
211 Saint Francis Dr, Cape Girardeau, MO, 64180-1143
Phone Number
573-339-1166
Fax Number
573-339-7166
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41035259 05 NM
86081039 05 CO
institution
Provider Business Practice Location Address Details
Address
211 Saint Francis Dr
City
Cape Girardeau
State
Missouri
Zip
63703-5049
Phone Number
573-339-1166
Fax Number
573-339-7166
person
Provider Business Mailing Address Details
Address
211 Saint Francis Dr
City
Cape Girardeau
State
Missouri
Zip
63703-5049
Phone Number
573-339-1166
Fax Number
573-339-7166
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD2003-0686 (New Mexico)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
2017031964 (Missouri)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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