MEDICARE: DR. DUNCAN EDWARD DARNELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	36521	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	36521	OTHER	KY	MEDICAL LICENSE

General Provider Information

NPI Number	:	1003809997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DUNCAN EDWARD DARNELL MD

Provider Business Mailing Address
First Line	:	425 BROADWAY ST
Second Line	:
City	:	PADUCAH
State	:	KY
Zip	:	42001-0713
Country	:	US
Telephone Number	:	270-442-1801
Fax Number	:	270-442-1804

Provider Business Practice Location Address
First Line	:	425 BROADWAY ST
Second Line	:
City	:	PADUCAH
State	:	KY
Zip	:	42001-0713
Country	:	US
Telephone Number	:	270-442-1801
Fax Number	:	270-442-1804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	06/10/2024

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