Provider Demographics
NPI:1881159952
Name:DUNCAN, BRIAN (LAC, DACM)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:LAC, DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 COMMERCE ST STE 107
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-4348
Mailing Address - Country:US
Mailing Address - Phone:248-408-4546
Mailing Address - Fax:
Practice Address - Street 1:124 COMMERCE ST STE 107
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-4348
Practice Address - Country:US
Practice Address - Phone:248-408-4546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-04
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5401000195171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist