Individual
KURT A DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 OAK PARK BLVD FL 2, LAKE CHARLES, LA 70601-8990
(337) 494-3278
(337) 494-3240
Mailing address
PO BOX 122152 DEPT 2152, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26685
AL
207RC0000X
Cardiovascular Disease Physician
27165
MS
207RC0000X
Cardiovascular Disease Physician
56050
GA
207RC0000X
Cardiovascular Disease Physician
Primary
MD.15664R
LA
207RI0011X
Interventional Cardiology Physician
27165
MS
207RI0011X
Interventional Cardiology Physician
56050
GA
207UN0901X
Nuclear Cardiology Physician
53223
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935553
—
AL
05
—
1475327
—
LA
01
—
27165
MEDICAL LICENSE
MS
01
—
51003180
BCBS
AL
01
—
P00284614
RR MEDICARE
AL
Enumeration date
09/16/2008
Last updated
03/10/2023
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