Individual
MR. KELLY JOHN SKIPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
4525 GILBERT AVE, #107, DALLAS, TX 75219-2122
(214) 529-5024
Mailing address
4525 GILBERT AVE, #107, DALLAS, TX 75219-2122
(214) 529-5024
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
09-262
TX
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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