Provider Demographics
NPI:1336272889
Name:SKLODOWSKI, KAREN M (PA-C)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:M
Last Name:SKLODOWSKI
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:6681 RIDGE ROAD
Mailing Address - Street 2:SUITE
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5713
Mailing Address - Country:US
Mailing Address - Phone:216-398-0863
Mailing Address - Fax:216-351-3619
Practice Address - Street 1:6681 RIDGE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5713
Practice Address - Country:US
Practice Address - Phone:440-842-1295
Practice Address - Fax:216-351-3619
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2008-01-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH50001345363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH50001345OtherLICENSE NUMBER