Individual provider · Type 1 NPI
Kimberly K. Skaggs, NP
Gerontology Nurse Practitioner · Temple, TX
NPI number
1104418557
Active
Practice location
2401 S 31st St
Temple, TX 76508-0001
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 1019365 (TX) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1019365 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1104418557
Kimberly K. Skaggs, NP's National Provider Identifier is 1104418557, issued on Feb 8, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Temple, TX. The record was last updated on Dec 13, 2022.