Ronald R Duke, PA-C
Individual provider Active NPI Physician Assistant · Fort Knox, KY
NPI 1740632009 · NPPES record last updated Mar 26, 2025
Key facts
- NPI
- 1740632009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 200 Brule St BLDG 871
Fort Knox, KY 40121-6100 - Phone
- (480) 749-7575
- NPI assigned
- Jul 11, 2016
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11011 | AZ | MD | Physician Assistant |
| C5-0012247 | DE | MD | Physician Assistant |
| 131332 | IA | MD | Physician Assistant |
| 50.009385RX | OH | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11011 | AZ | |
| Physician Assistant | 363A00000X | 50.009385RX | OH | |
| Physician Assistant | 363A00000X | C5-0012247 | DE | |
| Physician Assistant | 363A00000X | 131332 | IA | |
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
200 Brule St BLDG 871
Fort Knox, KY 40121-6100
Mailing address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (480) 707-9296
Other providers in Fort Knox, KY
- Renee L Dodge
- Momodoulamin S Drammeh
- Douglas M Dudewicz
- Lauri Lyn Duesler
- Travis Arron Dugan
- Judy D Dulin
- Rhonda L Earls
- Marie G Edling
- Robert Conrad Egbert Jr.
- David James Ellis
All providers in Fort Knox, KY · Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2025. 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.