Kenneth H Skipper, MD in Gladewater, TX - General Practice

Kenneth H Skipper, MD is a General Practice physician based in Gladewater, Texas. Kenneth H Skipper is licensed to practice in Texas (license number F5047) and his current practice location is 1600 Broadway Ave, Gladewater, Texas. He can be reached at his office (for appointments etc.) via phone at (903) 315-5630.

NPI number for Kenneth H Skipper is 1053316711 and his current mailing address is Po Box 4207, Longview, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053316711.

Contact Information

	Kenneth H Skipper, MD
	1600 Broadway Ave, Gladewater, TX 75647-5040
	(903) 315-5630
	(903) 845-6212

Physician's Profile

Full Name	Kenneth H Skipper
Gender	Male
Speciality	General Practice
Location	1600 Broadway Ave, Gladewater, Texas
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1053316711
Provider Enumeration Date: 06/17/2005
Last Update Date: 09/23/2013

Medical Identifiers

Medical identifiers for Kenneth H Skipper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053316711	NPI	-	NPPES
123416301	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	F5047 (Texas)	Secondary
208D00000X	General Practice	F5047 (Texas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth H Skipper is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenneth H Skipper, MD Po Box 4207, Longview, TX 75606-4207 Ph: (903) 315-5630	Kenneth H Skipper, MD 1600 Broadway Ave, Gladewater, TX 75647-5040 Ph: (903) 315-5630

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Kenneth H Skipper, MD - General Practice in Gladewater, TX