MEDICARE: KYLE DUNCAN NP, MSNA, PMHNP-BC

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	163W00000X	Registered Nurse	231825	NC
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5018356	NC

General Provider Information

NPI Number	:	1659963056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLE DUNCAN NP, MSNA, PMHNP-BC

Provider Business Mailing Address
First Line	:	529 JM PENNINGER RD
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27292-9143
Country	:	US
Telephone Number	:	336-423-9231
Fax Number	:

Provider Business Practice Location Address
First Line	:	4154 MENDENHALL OAKS PKWY STE 103
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8426
Country	:	US
Telephone Number	:	336-905-8011
Fax Number	:	336-905-8097

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

Provider Enumeration Date	:	02/07/2021
Last Update Date	:	07/29/2024

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