person
Mr. Kentucky R Skinner, O-PA/C
Surgical Physician Assistant in Mandeville, Louisiana
NPI 1225245343

Kentucky R Skinner is a Surgical Physician Assistant based in Mandeville, LA and is specialized in Surgical. Kentucky R Skinner practices in Mandeville, LA and has the professional credentials of O-PA/C. The NPI Number for Kentucky R Skinner is 1225245343 and holds a License No. CN88759 (Louisiana).

The current practice location address for Kentucky R Skinner is 230 Audubon Dr, Mandeville, LA and can be reached out via phone at 985-845-1501 and via fax at 985-845-1601. You can also correspond with Kentucky R Skinner through the mailing address at 230 AUDUBON DR, MANDEVILLE, LA - 70471 (mailing address contact number: 985-845-1501).

Location: 230 Audubon Dr, Mandeville, LA, 70471
person
Provider Profile Details
NPI Number
1225245343
Provider Name
Kentucky R Skinner
Credential
O-PA/C
Provider Entity Type
Individual
Gender
Male
Address
230 Audubon Dr, Mandeville, LA, 70471
Phone Number
985-845-1501
Fax Number
985-845-1601
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CN88759 01 LA NC OF ASSIST SURGEONS
institution
Provider Business Practice Location Address Details
Address
230 Audubon Dr
City
State
Zip
70471
Phone Number
985-845-1501
Fax Number
985-845-1601
person
Provider Business Mailing Address Details
Address
230 Audubon Dr
City
State
Zip
70471
Phone Number
985-845-1501
Fax Number
985-845-1601
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
CN88759 (Louisiana)
Definition
Definition to come...
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