Individual
KEVIN SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.P.M.
Contact information
Practice address
2963 E ROBIN LN, GILBERT, AZ 85296-9426
(480) 399-4577
Mailing address
2963 E ROBIN LN, GILBERT, AZ 85296-9426
(480) 399-4577
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17122
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013997881
—
NV
05
—
286824
—
AZ
Enumeration date
01/18/2006
Last updated
12/19/2011
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