Whalio Doctors

NPI 1013169879

Kenneth Vernon Slack, MD

Practitioner Emergency Medicine Physician Orlando, FL

Practice location

Address
7727 Lake Underhill Rd, Orlando, FL 32822-8224
Phone
(407) 303-6413

Registered specialties (3)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence ME119973 (FL)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence TRN18079 (FL)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 24792 (NE)

Registry record

NPI
1013169879
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Oct 2008
Record last updated
6 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.