Skinner, Mary T

Skinner, Mary T is an individual health care provider with primary practice located at 215 Central Ave Ste 100 Suite 100, Louisville KY 40208-1450. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Skinner, Mary T can be contacted via phone (502) 588-8720.

Contact Information

Primary practice address
215 Central Ave Ste 100 Suite 100 Louisville KY 40208-1450
Phone: (502) 588-8720
Fax: (502) 588-8721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5720P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3005720 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 5720P Kentucky

Profile Details

NPI number 1033358072
LBN Legal business name Skinner, Mary T
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2009
Last updated Nov 21st, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033358072 NPPES
Kentucky Other P00706702 RAILROAD MEDICARE

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