Individual
CONNIE J. SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7139 HWY 56E, SEBREE, KY 42455-0009
(270) 835-2200
(270) 835-2204
Mailing address
PO BOX 795, 7139 ST RT 56 E, SEBREE, KY 42455-0009
(270) 835-2000
(270) 835-2204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3510P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000492913
BCBS
KY
01
—
000000520903
BCBS
KY
05
—
78005683
—
KY
01
—
P00471564
RR MEDICARE
KY
Enumeration date
05/27/2006
Last updated
07/21/2022
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