Individual
KRISTEN DAVIS SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1375 N GREEN ST, SUITE 100, BROWNSBURG, IN 46112-8705
(317) 852-2251
(317) 852-1225
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01055741A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200380580
—
IN
Enumeration date
06/15/2006
Last updated
01/14/2021
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