Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Skinner, PA

Individual provider Physician Assistant · NPI 1164790721

Kevin Skinner, PA is a Physician Assistant in Tyler, Texas. Works from 5 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

800 E Dawson St
Tyler, TX 75701-2036
Phone: (903) 593-8441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 18780 Interstate 20, Canton, TX 75103-3593 — (903) 567-7748
  • 2026 S Jackson St, Jacksonville, TX 75766-5822 — (903) 541-4500
  • 115 Airport Rd, Sulphur Springs, TX 75482-2105 — (903) 885-7671
  • 8389 S Broadway Ave, Tyler, TX 75703-5408 — (903) 606-6500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA07717 (TX)

Record details

NPI number1164790721
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 9, 2011
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing addressPo Box 846098, Dallas, TX 75284-6098

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