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Individual

TAYLOR DUNCAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3618
(859) 572-2326
Mailing address
P.O. BOX 18667, ERLANGER, KY 41018
(859) 572-3617
(859) 572-2326

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01076151A
IN
207P00000X
Emergency Medicine Physician
Primary
50143
KY
390200000X
Student in an Organized Health Care Education/Training Program
11017616A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0230279
OH
05
300041245
IN
05
7100478820
KY
Enumeration date
06/06/2014
Last updated
05/28/2021
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