Provider Demographics
NPI:1881876993
Name:DUNCAN, ALLISON J
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:J
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:J
Other - Last Name:KAMIENSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-5951
Mailing Address - Fax:414-777-0044
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-5951
Practice Address - Fax:414-777-0044
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL078063367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI160263-30OtherRN LICENSE