Kelly J Slade, N.P.

NPI #1306240767 in Decatur, Illinois

Provider Information

NPI Number
1306240767
Entity Type
Individual
Name
Kelly J Slade, N.P.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
N.P.
Enumeration Date
Oct 14, 2014
Last Updated
Nov 1, 2019

Practice Location

Address
176 W MOUND RD
ZIP Code
62526-1964
Phone
(217) 391-8730

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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