Provider Demographics
NPI:1043988041
Name:HOSKINS, SKYLAR (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:SKYLAR
Middle Name:
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 HOSKINS CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-6818
Mailing Address - Country:US
Mailing Address - Phone:606-224-8971
Mailing Address - Fax:
Practice Address - Street 1:450 HOSKINS CEMETERY RD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-6818
Practice Address - Country:US
Practice Address - Phone:606-224-8971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4719363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant