Doctor Name: | RUBY CAROL DUNCAN |
NPI Number: | 1750426888 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 3004018 |
Business Practice Address: | 65 Center Ave Whitley City, KY - 426534380 |
Business Phone Number: | 6063762224 |
Business Fax Number: | 6063762205 |
Mailing Address: | Po Box 129, WHITLEY CITY |
State: | KY |
Postal Code: | 426530129 |
Phone Number: | 6063762224 |
Fax Number: | 6063762205 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3004018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |