Provider Demographics
NPI:1730110438
Name:DUNCAN, KATHY RENEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:RENEE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:KATHY
Other - Middle Name:RENEE
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:1320 FOREST HILL DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36618-2036
Mailing Address - Country:US
Mailing Address - Phone:251-343-2380
Mailing Address - Fax:251-343-2325
Practice Address - Street 1:1504 SPRING HILL AVE
Practice Address - Street 2:126M
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-3207
Practice Address - Country:US
Practice Address - Phone:251-219-3923
Practice Address - Fax:251-219-3750
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL937A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist