Individual
PAUL SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 SLOCUM DRIVE, KING COVE, AK 99612-0000
(907) 497-2311
(907) 497-2310
Mailing address
36800 WESTWAY RD, KENAI, AK 99611
(907) 335-1962
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
709
AK
Other
Enumeration date
10/05/2006
Last updated
01/06/2011
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