Skinner, Connie J.
Skinner, Connie J. is an sole proprietor health care provider with primary practice located at 7139 Hwy 56E , Sebree KY 42455-0009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Skinner, Connie J. can be contacted via phone (270) 835-2200.Contact Information
Primary practice address
7139 Hwy 56E
Sebree KY 42455-0009
Phone: (270) 835-2200
Fax: (270) 835-2204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3510P | Kentucky |
Profile Details
| NPI number | 1669429593 |
|---|---|
| LBN Legal business name | Skinner, Connie J. |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669429593 | NPPES |
| Kentucky | MEDICAID | 78005683 | |
| Kentucky | Other | 000000492913 | |
| Kentucky | Other | 000000520903 | |
| Kentucky | Other | P00471564 |
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