| Doctor Name: | KEITH A SLICK |
| NPI Number: | 1306957857 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNA |
| License Number: | |
| Business Practice Address: | 615 Ridge Rd Suite 202 Roxboro, NC - 275734629 |
| Business Phone Number: | 3365035640 |
| Business Fax Number: | |
| Mailing Address: | Po Box 15609, DURHAM |
| State: | NC |
| Postal Code: | 277040609 |
| Phone Number: | 9193840200 |
| Fax Number: | 9193840600 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 02/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| 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. |