Skidmore, Kirk Allen

Skidmore, Kirk Allen is an sole proprietor health care provider with primary practice located at 18008 State Route 410 E Suite B, Bonney Lake WA 98391-7113. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Skidmore, Kirk Allen can be contacted via phone (425) 785-2641.

Contact Information

Primary practice address
18008 State Route 410 E Suite B Bonney Lake WA 98391-7113
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DE60232222 Washington

Profile Details

NPI number 1144468703
LBN Legal business name Skidmore, Kirk Allen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2009
Last updated Dec 19th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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