Basic Information
| Provider Information | |||||||||
| NPI: | 1619938826 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SLOSS | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | A. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 119 HENDERSONVILLE RD | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288032868 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8287714223 | ||||||||
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| Practice Location | |||||||||
| Address1: | 146 NESBITT RIDGE | ||||||||
| Address2: | |||||||||
| City: | LAKE LURE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28746 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286254400 | ||||||||
| FaxNumber: | 8286254455 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2006 | ||||||||
| LastUpdateDate: | 06/20/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 30735 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8977069 | 05 | NC | MEDICAID | 212757H | 01 | NC | MEDICARE PTAN | OTHER | NCJ724A | 01 | NC | MEDICARE PTAN | OTHER |