| NPI | 1386371557 |
|---|---|
| Doing Business As | SKINCLUSIVE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | KELCEY ROBAK CEO 402-276-7038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2022-08-06 |
| Last Update Date | 2022-12-23 |