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WENDELL LAWRENCE SKINNER MD
NPI 1669478525
Surgery in Kingsport, TN

Active since June 24, 2005
130 W RAVINE RD, KINGSPORT, TN 37660(423) 224-4000(423) 224-3258 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wendell Lawrence Skinner Md NPPES

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

WENDELL LAWRENCE SKINNER MD (NPI 1669478525) is an individual surgery provider in Kingsport, Tennessee, licensed in Tennessee (4120) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1669478525
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameWENDELL LAWRENCE SKINNERCredential: MD
Location Address130 W RAVINE RDKingsport, TN 37660-3837
Mailing Address999 Executive Park Blvd, Suite 201Kingsport, TN 37660-4632 · (423) 224-3250 · Fax (423) 224-3258
Phone(423) 224-4000
Fax(423) 224-3258
Sole ProprietorNo
Enumeration DateJune 24, 2005
Last NPPES UpdateJuly 12, 2012
✔ NPI 1669478525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · 4120
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
130 W RAVINE RD, Kingsport, TN 37660
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Other Identifiers 6

Medicare UPINB03989TN
Medicaid31818611TN
Medicare PIN31818611TN
Medicare PIN103I022875TN
Medicare PINP00622865TN
Medicaid6404261700KY

Other Providers at the Same Location NPPES 20

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

CLAIRE ELLIOTT PHARMD
Pharmacist
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000
WPS PROVIDERS INC
General Practice
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000
JAMES ROBERT BECK PHARMACIST
Pharmacist
130 W RAVINE RD, WELLMONT OUTPATIENT PHARMACY
KINGSPORT, TN 37660
Sullivan County (423) 224-6860
MRS. REKHA S GUPTA OTR
Occupational Therapist
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-5535
MRS. STACEY ANN RYDER CRNA
Nurse Anesthetist, Certified Registered
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000
DR. HETVI KIRITKUMAR JOSHI M.D.
Hospitalist
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-3628
SHERRY LYNN GOODE NP
Nurse Practitioner (Family)
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-3628
PATRINA NICOLYN CRADIC FNP-C
Nurse Practitioner (Family)
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000

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 Wendell Skinner's NPI number?

The NPI number for Wendell Skinner is 1669478525. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Wendell Skinner located?

Wendell Skinner practices at 130 W Ravine Rd, Kingsport, TN 37660. The listed phone number is (423) 224-4000.

What is Wendell Skinner's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Wendell Skinner was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.