Provider Demographics
NPI:1194769273
Name:SKAGGS, KATHERINE KNESS (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:KNESS
Last Name:SKAGGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1292
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-1292
Mailing Address - Country:US
Mailing Address - Phone:970-668-5771
Mailing Address - Fax:970-262-2196
Practice Address - Street 1:360 PEAK ONE DRIVE
Practice Address - Street 2:SUITE #260
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443
Practice Address - Country:US
Practice Address - Phone:970-668-5771
Practice Address - Fax:970-262-2196
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI31388174400000X
WI31388-20207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist