Individual
JOSHUA SKIBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 OLD MAIN ST, HARTFORD, KY 42347-1619
(270) 730-5344
Mailing address
PO BOX 148, HARTFORD, KY 42347-0148
(270) 504-1315
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
44721
KY
207RC0000X
Cardiovascular Disease Physician
MT179407
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100175880
—
KY
Enumeration date
05/08/2007
Last updated
01/03/2013
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