Kristopher J Duncan, MSO
Individual provider Active NPI Military Health Care Provider · Piti, GU
NPI 1649239773 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1649239773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Military Health Care Provider 171000000X
- Practice address
- Uss Frank Cable (As 40)
BLDG 4436 Polaris Point Rd
Piti, GU 96915 - Phone
- (671) 343-2545
- NPI assigned
- Mar 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | Yes |
Addresses
Primary practice location
Uss Frank Cable (As 40)
BLDG 4436 Polaris Point Rd
Piti, GU 96915
Mailing address
Unit 100105 Box 2501
Fpo, AP 96657-0525
Phone (671) 343-2545
Other providers in Piti, GU
All providers in Piti, GU · Military Health Care Provider in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. 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.