Provider Demographics
NPI:1346859329
Name:SLONE, KAYLEY BETH
Entity Type:Individual
Prefix:
First Name:KAYLEY
Middle Name:BETH
Last Name:SLONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 GRUENE HVN
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-3368
Mailing Address - Country:US
Mailing Address - Phone:713-314-7755
Mailing Address - Fax:
Practice Address - Street 1:3387 S JOG RD STE 103
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33467-2010
Practice Address - Country:US
Practice Address - Phone:561-781-8090
Practice Address - Fax:561-781-8099
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1004841163WG0000X
FLAPRN11015506163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice