Kisha Slater, INDEPENDENTPROVIDER
Kisha Slater, INDEPENDENTPROVIDER is a Driver in Toledo, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
519 W Delaware AveToledo, OH 43610-1310
Phone: (419) 277-0559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Private Vehicle (primary) | Taxonomy 347C00000X · Licence RS619850 (OH) |
|---|---|
| Driver | Taxonomy 172A00000X · Licence RS619850 (OH) |
| Homemaker | Taxonomy 376J00000X |
Record details
| NPI number | 1639786437 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | INDEPENDENTPROVIDER |
| Sole proprietor | Yes |
| NPI enumerated | September 25, 2020 |
| Last updated in NPPES | October 11, 2022 |
| Certification date | October 11, 2022 |
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