Provider Demographics
NPI:1639241573
Name:DUNCAN, KATE ZAJICEK (DC)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:ZAJICEK
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 E 16TH ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-3230
Mailing Address - Country:US
Mailing Address - Phone:402-721-6372
Mailing Address - Fax:402-721-6932
Practice Address - Street 1:1139 E 16TH ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-3230
Practice Address - Country:US
Practice Address - Phone:402-721-6372
Practice Address - Fax:402-721-6932
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1413111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE256970OtherMIDLAND'S CHOICE
NE36683OtherBLUE CROSS BLUE SHIELD
NE10025662000Medicaid
NE10025662000Medicaid