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MR. KENTUCKY R SKINNER O-PA/C
NPI 1225245343
Physician Assistant - Surgical in Mandeville, LA

Active since May 17, 2007
230 AUDUBON DR, MANDEVILLE, LA 70471(985) 845-1501(985) 845-1601 Get Directions Write a Review

NPPES record last updated: October 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kentucky R Skinner O-pa/c NPPES

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

MR. KENTUCKY R SKINNER O-PA/C (NPI 1225245343) is an individual surgical provider in Mandeville, Louisiana, licensed in Louisiana (CN88759) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1225245343
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. KENTUCKY R SKINNERCredential: O-PA/C
Location Address230 AUDUBON DRMandeville, LA 70471
Mailing Address230 Audubon DrMandeville, LA 70471 · (985) 845-1501 · Fax (985) 845-1601
Phone(985) 845-1501
Fax(985) 845-1601
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateOctober 18, 2008
✔ NPI 1225245343 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 LA · CN88759
230 AUDUBON DR, Mandeville, LA 70471
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Other Identifiers 1

OtherCN88759LA · Nc Of Assist Surgeons

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ORTON F GRINNELL CFA
Specialist/Technologist, Other (Surgical Assistant)
230 AUDUBON DR
MANDEVILLE, LA 70471
St. Tammany Parish (985) 845-1501
MRS. SHARON A SCHUSTER CST PA
Physician Assistant (Surgical)
230 AUDUBON DR
MANDEVILLE, LA 70471
St. Tammany Parish (985) 845-1501
MS. DARREL LEE BROWN CFA PA
Physician Assistant (Surgical)
230 AUDUBON DR
MANDEVILLE, LA 70471
St. Tammany Parish (985) 845-1501
MR. JOEL B GARRETT CFA PA
Physician Assistant (Surgical)
230 AUDUBON DR
MANDEVILLE, LA 70471
St. Tammany Parish (985) 845-1501
MRS. JENNIFER N MESEROLE CST PA
Physician Assistant (Surgical)
230 AUDUBON DR
MANDEVILLE, LA 70471
St. Tammany Parish (985) 845-1501

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 Kentucky Skinner's NPI number?

The NPI number for Kentucky Skinner is 1225245343. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Kentucky Skinner located?

Kentucky Skinner practices at 230 Audubon Dr, Mandeville, LA 70471. The listed phone number is (985) 845-1501.

What is Kentucky Skinner'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 Kentucky Skinner was last updated on October 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.