Skipper, Kent K

Skipper, Kent K is an individual health care provider with primary practice located at 6513 Preston Rd Suite 300, Plano TX 75024-2688. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Skipper, Kent K can be contacted via phone (972) 608-2025.

Contact Information

Primary practice address
6513 Preston Rd Suite 300 Plano TX 75024-2688
Fax: (972) 608-2032
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J6730 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X J6730 Texas

Profile Details

NPI number 1205878766
LBN Legal business name Skipper, Kent K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Aug 26th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205878766 NPPES
Texas MEDICAID 042054906
Texas Other 8W2744

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