Provider Demographics
NPI:1497530232
Name:DUNCAN, KYLE RAY (DPT)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:RAY
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:DR
Other - First Name:KYLE
Other - Middle Name:RAY
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:1327 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:IA
Mailing Address - Zip Code:50211-1369
Mailing Address - Country:US
Mailing Address - Phone:515-985-5577
Mailing Address - Fax:
Practice Address - Street 1:1327 SUNSET DR
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:IA
Practice Address - Zip Code:50211-1369
Practice Address - Country:US
Practice Address - Phone:515-985-5577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA121926225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist