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

Mr. Kentucky R Skinner, O-PA/C

Individual provider Surgical Physician Assistant · NPI 1225245343

Mr. Kentucky R Skinner, O-PA/C is a Surgical Physician Assistant in Mandeville, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2007

Practice location Address checks out

230 Audubon Dr
Mandeville, LA 70471
Phone: (985) 845-1501
Fax: (985) 845-1601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence CN88759 (LA)

Record details

NPI number1225245343
Entity typeIndividual (Type 1)
GenderMale
Credentials O-PA/C
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESOctober 18, 2008

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