Individual
MR. KENNETH M SKIBINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
721 MADISON ST, HUNTERSVILLE, AL 35801
(256) 533-8444
Mailing address
PO BOX 288, HUNTSVILLE, AL 35804
(256) 880-6711
(256) 880-6712
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-065857
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051518174
—
AL
01
—
18174
BC OF AL
AL
Enumeration date
02/08/2006
Last updated
07/08/2007
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