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Individual

DR. KAREN L. SKIDMORE

Active
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Individual

DR. KAREN L. SKIDMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

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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