Kenneth Paul Duncan, MD
Individual provider Active NPI Pediatrics Physician · North Kansas City, MO
NPI 1497725543 · NPPES record last updated Jul 30, 2007
Key facts
- NPI
- 1497725543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- R2E10 (MO)
- Practice address
- 2700 Clay Edwards Dr
Suite 500
North Kansas City, MO 64116-3251 - Phone
- (816) 421-4115
- Fax
- (816) 421-4152
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2E10 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encompass Medical Group, PA | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R2E10 | MO | Yes |
Addresses
Primary practice location
2700 Clay Edwards Dr
Suite 500
North Kansas City, MO 64116-3251
Mailing address
9411 N Oak Trfy
Suite LL1
Kansas City, MO 64155-2262
Phone (816) 436-7072
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26070033 | Other | MO | BCBS OF KANSAS CITY INDIV |
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- Laura Catherine Dunn
- Cheryl M Duran
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All providers in North Kansas City, MO · Pediatrics Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.