Kelly Leann Duncan, CREDENTIALED RN
Individual provider Active NPI School Registered Nurse · Shafter, CA
NPI 1669948709 · NPPES record last updated Oct 16, 2018
Key facts
- NPI
- 1669948709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 685045 (CA)
- Practice address
- 331 N Shafter Ave
Shafter, CA 93263-1967 - Phone
- (661) 746-8623
- NPI assigned
- Oct 16, 2018
- Sex
- Female
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 685045 | CA | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 685045 | CA | Yes |
Addresses
Primary practice location
331 N Shafter Ave
Shafter, CA 93263-1967
Mailing address
331 N Shafter Ave
Shafter, CA 93263-1967
Other providers in Shafter, CA
- Mary V. Collignon
- Ruby Estrada Dacio
- Mackenzie Lynne De la Cruz
- Manjot Kaur Dhaliwal
- Leonesha Diggs
- Dycora Transitional Health - Shafter LLC
- Eliza R Dyer
- Maria Luisa Elias
- Engage Physical Therapy Inc.
- Amgad A Faragalla
All providers in Shafter, CA · School Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2018. 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.