Kelly Michael Duncan in Humboldt - Optometrist

Kelly Michael Duncan - NPI 1912954983

Kelly Michael Duncan is a Optometrist in Humboldt, Tennessee. Kelly Michael Duncan practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kelly Michael Duncan is 1912954983. The last update date is 2015-08-18.

Kelly Michael Duncan's current location address is Po Box 509, Humboldt, Tennessee. You can contact this provider via phone number 7316683018 and fax number 7316689158. The mailing address for Kelly Michael Duncan is Po Box 509, Humboldt, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Michael Duncan
Address Po Box 509, Humboldt, Tennessee
Phone Number 7316683018
Fax Number 7316689158
Sole Proprietor N
Credentials O D

NPI Number Detail

NPI Number 1912954983
Provider Enumeration Date 2006-05-27
Last Updated Date 2015-08-18

Provider Mailing Address Detail

Address Po Box 509
City Humboldt
State Tennessee (TN)
Post Code 383430509
Phone Number 7316683018
Fax Number 7316689158

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OD1592
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3943183 TN --
4105782 TN BLUE CROSS BLUE SHEILD
4239243 CIGNA HEALTHCARE
5466560004 TN MEDICARE DMEPOS
6414 TN TLC MEMPHIS MANAGED CARE

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FAQs about Kelly Michael Duncan

What is the unique 10-digit identification code issued to Kelly Michael Duncan by the Centers for Medicare & Medicaid Services?

The Kelly Michael Duncan has been assigned the NPI (National Provider Identifier) 1912954983 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Kelly Michael Duncan is physically located?

The Kelly Michael Duncan is situated at the following address: Po Box 509, Humboldt, TN 383430509.

What is Kelly Michael Duncan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kelly Michael Duncan's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.

When did Kelly Michael Duncan receive its 1912954983 assignment?

The Kelly Michael Duncan was assigned its 1912954983 on 2006-05-27, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Kelly Michael Duncan most recently updated or revised?

The information pertaining to Kelly Michael Duncan, including its address, specialty, and other relevant details, was last updated or revised on 2015-08-18.

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