Doctor Name: | KAY SKALLA |
NPI Number: | 1245450279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CPNP |
License Number: | C-060373 |
Business Practice Address: | 23751 Highway 30 Carroll, IA - 514010427 |
Business Phone Number: | 7127929266 |
Business Fax Number: | 7127925723 |
Mailing Address: | 23751 Highway 30, Po Box 427 CARROLL |
State: | IA |
Postal Code: | 514010427 |
Phone Number: | 7127929266 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 03/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | C-060373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |