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NPI Code Detail

MEDICARE: KIM L SLIGHT M.D.

MEDICARE: KIM L SLIGHT M.D.
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
1207R00000XInternal Medicine PhysicianMD198402OR
2207R00000XInternal Medicine Physician4692AWY

General Provider Information

NPI Number : 1093754400
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM L SLIGHT M.D.
Provider Business Mailing Address
First Line : 1900 WOODLAND DR
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2099
Country : US
Telephone Number : 541-267-5151
Fax Number :
Provider Business Practice Location Address
First Line : 1900 WOODLAND DR
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2099
Country : US
Telephone Number : 541-267-5151
Fax Number : 541-266-4501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 06/16/2020

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Directions to “ KIM L SLIGHT M.D.” Practice Location

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