Bradley K Skillen in Derby - General Practice
Bradley K Skillen - NPI 1619069614
Bradley K Skillen is a General Practice in Derby, Kansas. Bradley K Skillen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley K Skillen is 1619069614. The last update date is 2007-07-08.
Bradley K Skillen's current location address is Po Box 207, Derby, Kansas. You can contact this provider via phone number 3167883736 and fax number 3167884158. The mailing address for Bradley K Skillen is Po Box 207, Derby, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley K Skillen |
|---|---|
| Address | Po Box 207, Derby, Kansas |
| Phone Number | 3167883736 |
| Fax Number | 3167884158 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619069614 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 207 |
|---|---|
| City | Derby |
| State | Kansas (KS) |
| Post Code | 670370207 |
| Phone Number | 3167883736 |
| Fax Number | 3167884158 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6291 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 794415 | UNITED CONCORDIA |
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What is the Bradley K Skillen's unique identification number?
The Bradley K Skillen has been assigned the NPI (National Provider Identifier) Number 1619069614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Bradley K Skillen's physical address?
The Bradley K Skillen is physically located at Po Box 207, in the city of Derby, KS, with the postal code 670370207.
What is Bradley K Skillen's area of expertise and its corresponding taxonomy classification?
The Bradley K Skillen's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did Bradley K Skillen receive its 1619069614 assignment from the Centers for Medicare & Medicaid Services?
The Bradley K Skillen was assigned its 1619069614 on 2006-09-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Bradley K Skillen most recently updated or refreshed?
The details pertaining to the Bradley K Skillen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.