Provider Demographics
NPI:1508811241
Name:DUNCAN, WOODROW TIMOTHY (MD)
Entity Type:Individual
Prefix:
First Name:WOODROW
Middle Name:TIMOTHY
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:W
Other - Middle Name:TIM
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1301 W 12TH AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-2589
Mailing Address - Country:US
Mailing Address - Phone:620-342-2900
Mailing Address - Fax:
Practice Address - Street 1:1301 W 12TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-2589
Practice Address - Country:US
Practice Address - Phone:620-342-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0428175207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H01437Medicare UPIN
KS056916Medicare ID - Type Unspecified
KS056916Medicare ID - Type Unspecified