DR. WILLIAM KENNETH SLATTERY DO
NPI 1255191102
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Dr. William Kenneth Slattery Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WILLIAM KENNETH SLATTERY DO (NPI 1255191102) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. William Kenneth Slattery Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is William Slattery's NPI number?
The NPI number for William Slattery is 1255191102. It was assigned to this individual provider in the NPPES registry on March 19, 2024.
Where is William Slattery located?
William Slattery practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (917) 510-4852.
What is William Slattery's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is William Slattery enrolled in Medicare?
Yes. William Slattery is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for William Slattery was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. William Kenneth Slattery, DO · NPI 1255191102
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since March 19, 2024.
## Identity
- **NPI:** 1255191102 (Entity type: Individual)
- **Enumerated:** March 19, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2799 W GRAND BLVD, Detroit, MI 48202-2608
- **Phone:** (917) 510-4852
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255191102) · Data from the CMS NPPES public registry.