Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Vernon Slack, MD

Individual provider Emergency Medicine Physician · NPI 1013169879

Dr. Kenneth Vernon Slack, MD is an Emergency Medicine Physician in Orlando, Florida. Licensed in Florida and Nebraska. Registered with an NPI since 2008.

Licensed in
FL, NE
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone: (407) 303-6413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME119973 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence TRN18079 (FL)
Surgery Physician Taxonomy 208600000X · Licence 24792 (NE)

Record details

NPI number1013169879
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 10, 2008
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020
Mailing address7727 Lake Underhill Rd, Orlando, FL 32822-8224

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