Organization
KENTUCKY SKIN CANCER CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SKAGGS II MD (OWNER)
(270) 907-3030
Entity
Organization
Contact information
Practice address
1818 WALLACE COURT, SUITE 301, BOWLING GREEN, KY 42103
(270) 907-3030
Mailing address
1818 WALLACE COURT, SUITE 301, BOWLING GREEN, KY 42103
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
04/17/2018
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