Individual
KENT K SKIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6513 PRESTON RD, SUITE 300, PLANO, TX 75024-2688
(972) 608-2025
(972) 608-2032
Mailing address
6513 PRESTON RD, SUITE 300, PLANO, TX 75024-2688
(972) 608-2025
(972) 608-2032
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J6730
TX
208600000X
Surgery Physician
Primary
J6730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042054906
—
TX
01
—
8W2744
BCBS
TX
Enumeration date
06/11/2006
Last updated
08/26/2013
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