NPI 1225245343

Kentucky R Skinner, OPAC

Practitioner Surgical Physician Assistant Mandeville, LA

Practice location

Address: 230 Audubon Dr, Mandeville, LA 70471
Phone: (985) 845-1501
Fax: (985) 845-1601

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence CN88759 (LA)

Other Physician Assistant providers in Louisiana →

Registry record

NPI: 1225245343
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2007
Record last updated: 18 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.