Provider Demographics
NPI:1700926656
Name:SKINNER, KAREN L (RPH)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:SKINNER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 PARK VILLAGE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-3806
Mailing Address - Country:US
Mailing Address - Phone:865-556-3080
Mailing Address - Fax:
Practice Address - Street 1:431 PARK VILLAGE RD STE 105
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-3806
Practice Address - Country:US
Practice Address - Phone:865-730-4200
Practice Address - Fax:865-730-4201
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13524183500000X
GARPH027059183500000X
TNC-5838183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist