KIMBERLY ELLEN SLAYTON FNP-C NPI 1619444627

NPI Information

  • NPI: 1619444627
  • Provider Name: KIMBERLY ELLEN SLAYTON, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2725 N WESTWOOD BLVD STE 5
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 872-4671

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NPI Details

Kimberly Ellen Slayton, FNP-C is a family nurse practitioner in Poplar Bluff, MO with 8 years of experience. Kimberly Ellen Slayton, FNP-C NPI is 1619444627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2725 N WESTWOOD BLVD STE 5
POPLAR BLUFF, MO
ZIP 63901-367
Phone: (573) 872-4671
Fax: (573) 872-4675

The NPI 1619444627 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/29/2018 and was last updated on 7/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2018026396MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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