Individual
MR. RAY EVERETT SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5005 S 153RD ST STE 100, OMAHA, NE 68137-5070
(402) 717-1255
(402) 818-1924
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002162
IA
363A00000X
Physician Assistant
Primary
1411
NE
363A00000X
Physician Assistant
PAC1057
ND
Other
Enumeration date
03/23/2007
Last updated
05/06/2025
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