Provider Demographics
NPI:1649239773
Name:DUNCAN, KRISTOPHER J (MSO)
Entity Type:Individual
Prefix:
First Name:KRISTOPHER
Middle Name:J
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:MSO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 100105 BOX 2501
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96657-0525
Mailing Address - Country:US
Mailing Address - Phone:671-343-2545
Mailing Address - Fax:
Practice Address - Street 1:USS FRANK CABLE (AS 40)
Practice Address - Street 2:BLDG 4436 POLARIS POINT RD
Practice Address - City:PITI
Practice Address - State:GU
Practice Address - Zip Code:96915
Practice Address - Country:US
Practice Address - Phone:671-343-2545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider