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MR. KELLY JOHN SKIPPER SURGICAL ASSISTANT
NPI 1154654507
Physician Assistant - Surgical in Dallas, TX

Active since September 16, 2009
4525 GILBERT AVE, #107, DALLAS, TX 75219(214) 529-5024 Get Directions Write a Review

NPPES record last updated: September 16, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Kelly John Skipper Surgical Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KELLY JOHN SKIPPER SURGICAL ASSISTANT (NPI 1154654507) is an individual surgical provider in Dallas, Texas, licensed in Texas (09-262) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1154654507
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. KELLY JOHN SKIPPERCredential: SURGICAL ASSISTANT
Location Address4525 GILBERT AVE, #107Dallas, TX 75219-2122
Mailing Address4525 Gilbert Ave, #107Dallas, TX 75219-2122 · (214) 529-5024
Phone(214) 529-5024
Sole ProprietorYes
Enumeration DateSeptember 16, 2009
✔ NPI 1154654507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · 09-262
4525 GILBERT AVE, Dallas, TX 75219
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Skipper's NPI number?

The NPI number for Kelly Skipper is 1154654507. It was assigned to this individual provider in the NPPES registry on September 16, 2009.

Where is Kelly Skipper located?

Kelly Skipper practices at 4525 Gilbert Ave #107, Dallas, TX 75219. The listed phone number is (214) 529-5024.

What is Kelly Skipper's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kelly Skipper was last updated on September 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.