KENTUCKY R SKINNER

MANDEVILLE, LA
NPI1225245343
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: LA  CN88759)
Enumeration Date2007-05-17
Last Update Date2008-10-18
Business Address
Mr. KENTUCKY R SKINNER O-PA/C
230 AUDUBON DR
MANDEVILLE, LA 70471
Phone number: 985-845-1501
Mailing Address
Mr. KENTUCKY R SKINNER O-PA/C
230 AUDUBON DR
MANDEVILLE, LA 70471
Phone number: 985-845-1501
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