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NPI Code Detail

MEDICARE: KERA RABACAL SLAVICK PA-C

MEDICARE: KERA RABACAL SLAVICK PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA1447NV

General Provider Information

NPI Number : 1538592381
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERA RABACAL SLAVICK PA-C
Provider Business Mailing Address
First Line : 9030 W SAHARA AVE
Second Line : SUITE 249
City : LAS VEGAS
State : NV
Zip : 89117-5744
Country : US
Telephone Number : 702-629-6992
Fax Number : 702-629-6994
Provider Business Practice Location Address
First Line : 7251 W LAKE MEAD BLVD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-8380
Country : US
Telephone Number : 702-629-6992
Fax Number : 702-629-6992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2013
Last Update Date : 11/14/2022

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Directions to “ KERA RABACAL SLAVICK PA-C” Practice Location

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