Provider Demographics
NPI:1659963056
Name:DUNCAN, KYLE (NP, MSNA, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:NP, MSNA, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 JM PENNINGER RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-9143
Mailing Address - Country:US
Mailing Address - Phone:336-423-9231
Mailing Address - Fax:
Practice Address - Street 1:4154 MENDENHALL OAKS PKWY STE 103
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8426
Practice Address - Country:US
Practice Address - Phone:336-905-8011
Practice Address - Fax:336-905-8097
Is Sole Proprietor?:No
Enumeration Date:2021-02-07
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC231825163W00000X
NC5018356363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse