Individual
KATHRYN A SKUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-7373
(307) 358-7381
Mailing address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-7373
(307) 358-7381
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
MA43156
NJ
2080P0205X
Pediatric Endocrinology Physician
Primary
TL1957
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1751701
—
NJ
01
—
SK 618924
MEDICARE
NJ
Enumeration date
07/28/2006
Last updated
01/02/2013
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