Provider Demographics
NPI:1336401843
Name:SKITT, KATHRYN S (PA)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:S
Last Name:SKITT
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:12470 YORK ST UNIT 657
Mailing Address - Street 2:
Mailing Address - City:EASTLAKE
Mailing Address - State:CO
Mailing Address - Zip Code:80614-3027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4916 S BUCHANAN ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5949
Practice Address - Country:US
Practice Address - Phone:843-350-8552
Practice Address - Fax:720-368-5187
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2024-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COPA.0003823363A00000X
FLPA9106599363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant