Healthcare Provider Details

I. General information

NPI: 1548235617
Provider Name (Legal Business Name): KARYNNE O. DUNCAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 10/02/2012
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:
Mailing address:
  • Phone: 707-967-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberG86640
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: