| Kevin L Sloan, Md, Pllc | |
|
8015 Se 28th St Suite 218 Mercer Island WA 98040-2910 | |
| (206) 375-2774 | |
| Not Available |
| Full Name | Kevin L Sloan, Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8015 Se 28th St, Mercer Island, Washington |
| Authorized Official Name and Position | Kevin Lawrence Sloan (OWNER) |
| Authorized Official Contact | 2063752774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin L Sloan, Md, Pllc 4731 84th Ave Se Mercer Island WA 98040-4322 Ph: (206) 375-2774 | Kevin L Sloan, Md, Pllc 8015 Se 28th St Suite 218 Mercer Island WA 98040-2910 Ph: (206) 375-2774 |
| NPI Number | 1124353156 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 10/08/2009 |
| Medicare PECOS PAC ID | 8123165636 |
|---|---|
| Medicare Enrollment ID | O20091102000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124353156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD00029132 (Washington) | Primary |
| Provider Name | Kevin L Sloan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558470195 PECOS PAC ID: 7618028929 Enrollment ID: I20090626000380 |
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