Individual
DR. KEVIN ROBERT SKELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1621 NW BLUE PKWY, LEES SUMMIT, MO 64086-5708
(816) 246-1111
(816) 246-3931
Mailing address
2720 SW GRAY LN, LEES SUMMIT, MO 64081-4133
(816) 765-3990
(816) 246-2181
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2004035463
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209445600
—
MO
Enumeration date
08/15/2005
Last updated
04/01/2019
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