GARY OWEN SKINNER DO
NPI 1275634859
General Practice in Independence, MO

Active since September 26, 2006
18675 EAST 39TH STREET, SUITE M, INDEPENDENCE, MO 64057(816) 795-9911(816) 795-1911 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gary Owen Skinner Do NPPES

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

GARY OWEN SKINNER DO (NPI 1275634859) is an individual general practice provider in Independence, Missouri, licensed in Missouri (R5996) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1275634859
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameGARY OWEN SKINNERCredential: DO
Location Address18675 EAST 39TH STREET, SUITE MIndependence, MO 64057-1762
Mailing Address18675 East 39th Street, Suite MIndependence, MO 64057-1762 · (816) 795-9911 · Fax (816) 795-1911
Fax(816) 795-1911
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1275634859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses Licensed in MO · R5996 Licensed in HI · 692 Licensed in KS · 0516202
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

18675 EAST 39TH STREET, Independence, MO 64057

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275634859, enumerated as an "individual" on September 26, 2006.

The provider is located at 18675 EAST 39TH STREET SUITE M INDEPENDENCE, MO 64057 and the phone number is (816) 795-9911.

General Practice with taxonomy code 208D00000X.