Provider Demographics
NPI:1114037397
Name:KARYNNE O. DUNCAN, M.D., INC
Entity Type:Organization
Organization Name:KARYNNE O. DUNCAN, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARYNNE
Authorized Official - Middle Name:O'CONNELL
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-967-0800
Mailing Address - Street 1:1104 ADAMS ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAINT HELENA
Mailing Address - State:CA
Mailing Address - Zip Code:94574-1164
Mailing Address - Country:US
Mailing Address - Phone:707-967-0800
Mailing Address - Fax:707-967-0870
Practice Address - Street 1:1104 ADAMS ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-1164
Practice Address - Country:US
Practice Address - Phone:707-967-0800
Practice Address - Fax:707-967-0870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG86640Medicare UPIN