Healthcare Provider Details

I. General information

NPI: 1114037397
Provider Name (Legal Business Name): KARYNNE O. DUNCAN, M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 11/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 ADAMS ST SUITE 201
SAINT HELENA CA
94574-1164
US

IV. Provider business mailing address

1104 ADAMS ST SUITE 201
SAINT HELENA CA
94574-1164
US

V. Phone/Fax

Practice location:
  • Phone: 707-967-0800
  • Fax: 707-967-0870
Mailing address:
  • Phone: 707-967-0800
  • Fax: 707-967-0870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KARYNNE O'CONNELL DUNCAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 707-967-0800