Provider Demographics
NPI:1396407144
Name:DUNCAN, KRISTEN LYNN
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:LYNN
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 FARMVIEW CT
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-9191
Mailing Address - Country:US
Mailing Address - Phone:502-689-5842
Mailing Address - Fax:
Practice Address - Street 1:2527 NELSON MILLER PKWY STE 202
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-3165
Practice Address - Country:US
Practice Address - Phone:502-689-5842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-08
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist