| Doctor Name: | DR. KIRBY DOUGLAS SLIFER |
| NPI Number: | 1073507422 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 020010605 |
| Business Practice Address: | 3300 Nw Expressway 100-3443 Oklahoma City, OK - 731124418 |
| Business Phone Number: | 4059493349 |
| Business Fax Number: | |
| Mailing Address: | 1234 E Dupont Rd, Suite 1 FORT WAYNE |
| State: | IN |
| Postal Code: | 468251545 |
| Phone Number: | 2603739700 |
| Fax Number: | 2603739740 |
| NPI Enumeration Date: | 08/31/2005 |
| NPI Last Update Date: | 03/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 020010605 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |