Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENTUCKY R SKINNER, O-PA/C
Active Sole ProprietorMR. KENTUCKY R SKINNER, O-PA/C is a Surgical Physician Assistant healthcare provider located in MANDEVILLE, Louisiana. NPI 1225245343 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MANDEVILLE, LA
Registration Details
- NPI Number
- 1225245343
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2007 (19.267013017324 yrs)
- Last Updated
- Oct 18, 2008
- License
-
CN88759 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
230 AUDUBON DRMANDEVILLE, LA, 70471Browse LA providers · Browse ZIP 70471
- Phone
- 9858451501
- Fax
- 9858451601
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in MANDEVILLE, LA
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER N MESEROLE | CST PA | 1982811006 |
| MRS. SHARON A SCHUSTER | CST PA | 1447467568 |
| MR. JOEL B GARRETT | CFA PA | 1619184728 |
| MS. DONNA BROWN HOLMES | CFA PA | 1427250026 |
| MS. DARREL LEE BROWN | CFA PA | 1477751402 |
| STEPHEN LIGHTELL | LSA | 1871969873 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.