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Kenneth H. Skipper, MD
General Practice Physician in Gladewater, Texas
NPI 1053316711

Kenneth H. Skipper is a General Practice Physician based in Longview, TX. Kenneth H. Skipper practices in Gladewater, TX and has the professional credentials of MD. The NPI Number for Kenneth H. Skipper is 1053316711 and holds a License No. F5047 (Texas).

The current practice location address for Kenneth H. Skipper is 1600 Broadway Ave, Gladewater, TX and can be reached out via phone at 903-315-5630 and via fax at 903-845-6212.

Location: 1600 Broadway Ave, Gladewater, TX, 75606-4207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053316711
Provider Name
Kenneth H. Skipper
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1600 Broadway Ave, Gladewater, TX, 75606-4207
Phone Number
903-315-5630
Fax Number
903-845-6212
Provider Enumeration Date
06/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123416301 05 TX
institution
Provider Business Practice Location Address Details
Address
1600 Broadway Ave
City
Gladewater
State
Texas
Zip
75647-5040
Phone Number
903-315-5630
Fax Number
903-845-6212
person
Provider Business Mailing Address Details
Address
1600 Broadway Ave
City
Gladewater
State
Texas
Zip
75647-5040
Phone Number
903-315-5630
Fax Number
903-845-6212
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
F5047 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
F5047 (Texas)
Definition
Definition to come...
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