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Organization
SKUA INPATIENT SERVICES, A MEDICAL CORPORATION
Active
Organization
SKUA INPATIENT SERVICES, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (VP PROVIDER ENROLLMENT)
(973) 251-1132
Entity
Organization
Contact information
Practice address
1100 MAGELLAN DR, TEHACHAPI, CA 93561-1380
(954) 838-2371
Mailing address
PO BOX 98896, LAS VEGAS, NV 89193-8896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2014
Last updated
10/28/2019
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