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NPI Code Detail

MEDICARE: DR. KERIAN S. DUNCAN PT, DPT

MEDICARE: DR. KERIAN S. DUNCAN PT, DPT
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
12251P0200XPediatric Physical Therapist1913WY

General Provider Information

NPI Number : 1982184081
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KERIAN S. DUNCAN PT, DPT
Provider Business Mailing Address
First Line : PO BOX 1643
Second Line :
City : EVANSTON
State : WY
Zip : 82931-1643
Country : US
Telephone Number : 307-223-2286
Fax Number : 307-448-4604
Provider Business Practice Location Address
First Line : 350 CITY VIEW DR STE 204
Second Line :
City : EVANSTON
State : WY
Zip : 82930-5326
Country : US
Telephone Number : 307-223-2286
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 07/19/2021

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