Provider Demographics
NPI:1396970646
Name:DUNCAN, KENNETH R (ARNP)
Entity type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:R
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:MATRIX PULMONARY PA
Mailing Address - Street 2:2401 MANATEE AVE W
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-4933
Mailing Address - Country:US
Mailing Address - Phone:941-744-1336
Mailing Address - Fax:941-746-3846
Practice Address - Street 1:2401 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-4933
Practice Address - Country:US
Practice Address - Phone:941-744-1336
Practice Address - Fax:941-746-3846
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3247142363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care