Individual
CARRIE DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18003 NE 77TH ST, LIBERTY, MO 64068-8573
(816) 872-4077
Mailing address
18003 NE 77TH ST, LIBERTY, MO 64068-8573
(816) 872-4077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-120280-111
KS
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2003014803
MO
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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