Provider Demographics
NPI:1679467682
Name:CHIN SLICK, KAI
Entity type:Individual
Prefix:
First Name:KAI
Middle Name:
Last Name:CHIN SLICK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1399 BELCHER RD S LOT 273
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-5228
Mailing Address - Country:US
Mailing Address - Phone:727-656-8791
Mailing Address - Fax:
Practice Address - Street 1:1399 BELCHER RD S LOT 273
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-5228
Practice Address - Country:US
Practice Address - Phone:727-656-8791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL269519376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide