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Individual
DR. KATHLEEN ROSE SKELLY
Active
Individual
DR. KATHLEEN ROSE SKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
000942
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006515
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03767782
—
NY
05
—
198604667A
—
GA
01
—
978002
BCBS PROVIDER NUMBER
GA
Enumeration date
08/01/2006
Last updated
11/13/2014
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