Individual
RYAN HUNTER SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3100 MACCORKLE AVE SE STE 700, CHARLESTON, WV 25304-1230
(304) 351-1600
(304) 351-1664
Mailing address
3100 MACCORKLE AVE SE, SUITE 700, CHARLESTON, WV 25304-1230
(304) 351-1600
(304) 351-1664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111629
WV
Other
Enumeration date
10/24/2024
Last updated
09/17/2025
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