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Individual

DR. STEVEN D SKAGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9154
(502) 222-3347
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33264
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33264
KY LICENSE
KY
05
64332455
KY
Enumeration date
08/31/2006
Last updated
03/07/2023
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