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1164790721
KEVIN SKINNER
TYLER, TX
NPI
1164790721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363A00000X Physician Assistant
(Licence: TX PA07717)
Enumeration Date
2011-12-09
Last Update Date
2022-11-14
Business Address
KEVIN SKINNER PA
800 E DAWSON ST
TYLER, TX 75701-2036
Phone number: 903-593-8441
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Mailing Address
KEVIN SKINNER PA
PO BOX 846098
DALLAS, TX 75284-6098
Phone number: 903-606-6400
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