Healthcare Provider Details

I. General information

NPI: 1932057270
Provider Name (Legal Business Name): KATELYN ROSE SLONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 W CHURCH AVE
REED CITY MI
49677-1264
US

IV. Provider business mailing address

19000 ALSIE DR
MACOMB MI
48044-1248
US

V. Phone/Fax

Practice location:
  • Phone: 231-832-2201
  • Fax:
Mailing address:
  • Phone: 586-224-9123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: