Individual
KAREN SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM PS
Contact information
Practice address
20700 BOND RD NE, POULSBO, WA 98370-9099
(360) 697-3668
(360) 697-3610
Mailing address
20700 BOND RD NE, POULSBO, WA 98370-9099
(360) 697-3668
(360) 697-3610
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO00000508
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010913
PACIFICARE
WA
01
—
0166066
LABOR & INDUSTRIES
WA
01
—
141708141710
PREMERA
WA
01
—
2106608
COMMUNITY HLTH NETWORK WA
WA
01
—
4550430
AETNA
WA
05
—
8477598
—
WA
01
—
91217091100
UNIFORM MEDICAL PLAN
WA
01
—
9121709110001
CIGNA HEALTH CARE
WA
01
—
91217091101
KPS
WA
01
—
DA5130
RAILROAD MEDICARE
WA
01
—
WA9999
MUTUAL OF OMAHA
WA
Enumeration date
11/20/2006
Last updated
02/22/2008
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