Individual
BRENT DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 W BROADWAY STE 107, LOUISVILLE, KY 40203-3607
(502) 340-5900
(502) 394-3691
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30782
SC
207Q00000X
Family Medicine Physician
Primary
44455
KY
207Q00000X
Family Medicine Physician
LL 30782
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100166700
—
KY
Enumeration date
07/28/2008
Last updated
09/26/2022
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