# SKINNER WELLNESS CENTER PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144725979
- **Authorized official:** BRETT SKINNER DC (COMEMBER)
- **Authorized official phone:** (859) 396-3038

## Contact information

- **Practice address:** 3198 CUSTER DR \# 100, LEXINGTON, KY 40517-4000
- **Practice address phone:** (859) 231-6996
- **Practice address fax:** (859) 255-4104
- **Mailing address:** 3198 CUSTER DR \# 100, LEXINGTON, KY 40517-4000
- **Mailing address phone:** (859) 231-6996
- **Mailing address fax:** (859) 255-4104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/26/2018
- **Last updated:** 04/07/2020