Individual
DR. KAREN L. SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301
(304) 623-3461
Mailing address
1 MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301
(304) 623-3461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1883
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721680
BLUE CROSS BLUE SHIELD
WV
05
—
1806618000
—
WV
01
—
7974370
AETNA
WV
Enumeration date
09/27/2006
Last updated
03/21/2018
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