Provider Demographics
NPI:1689459067
Name:SKINNER, DANNY L II
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:L
Last Name:SKINNER
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4431 BUNKER HILL RD
Mailing Address - Street 2:
Mailing Address - City:KESWICK
Mailing Address - State:VA
Mailing Address - Zip Code:22947-2414
Mailing Address - Country:US
Mailing Address - Phone:434-327-6549
Mailing Address - Fax:
Practice Address - Street 1:4431 BUNKER HILL RD
Practice Address - Street 2:
Practice Address - City:KESWICK
Practice Address - State:VA
Practice Address - Zip Code:22947-2414
Practice Address - Country:US
Practice Address - Phone:434-327-8426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAA61261377172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver