Individual
WILLIAM LAWRENCE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
285 MEDICAL CENTER DR, PADUCAH, KY 42003-7912
(270) 441-4343
Mailing address
285 MEDICAL CENTER DR, PADUCAH, KY 42003-7912
(270) 441-4343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25788
KY
207RX0202X
Medical Oncology Physician
Primary
25788
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1681101
MEDICARE
KY
05
—
64257884
—
KY
Enumeration date
08/18/2006
Last updated
05/31/2024
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