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Individual
BROOKE ELIZABETH SKAGGS
Active
Individual
BROOKE ELIZABETH SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2439
KY
363A00000X
Physician Assistant
TC758
KY
363AM0700X
Medical Physician Assistant
PA2439
KY
363AS0400X
Surgical Physician Assistant
PA2439
KY
Other
Enumeration date
10/29/2018
Last updated
07/11/2023
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