Individual
DR. JOHN P. SKINNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4919 DIXIE HWY, SUITE J, LOUISVILLE, KY 40216-2554
(502) 449-3400
(502) 449-3838
Mailing address
4919 DIXIE HWY, SUITE J, LOUISVILLE, KY 40216-2554
(502) 449-3400
(502) 449-3838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6401
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60064011
—
KY
Enumeration date
10/13/2005
Last updated
07/08/2007
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