Kelly Leann Duncan, CREDENTIALED RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

685045 Issued in CA

Practice address

331 N Shafter Ave
Shafter, CA 93263-1967

Phone

(661) 746-8623

NPI assigned

Oct 16, 2018

Last updated

Oct 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1669948709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N SHAFTER AVE",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932631967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N SHAFTER AVE",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932631967",
            "telephone_number": "661-746-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "KELLY",
        "middle_name": "LEANN",
        "credential": "CREDENTIALED RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "685045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary V. Collignon, NP
• Ruby Estrada Dacio, DMD
• Mackenzie Lynne De la Cruz
• Manjot Kaur Dhaliwal, PA-C
• Leonesha Diggs, NP
• Dycora Transitional Health - Shafter LLC
• Eliza R Dyer, LCSW, PPSC
• Maria Luisa Elias, RD
• Engage Physical Therapy Inc.
• Amgad A Faragalla, D.D.S.

• School Registered Nurse in Shafter, CA
• Providers in Shafter, CA by specialty
• School Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.