Provider Demographics
NPI:1104096510
Name:KNOWLES-DUNCAN & ASSOCIATES, LLC
Entity type:Organization
Organization Name:KNOWLES-DUNCAN & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-776-3310
Mailing Address - Street 1:341 LOGAN ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-1557
Mailing Address - Country:US
Mailing Address - Phone:317-776-3310
Mailing Address - Fax:
Practice Address - Street 1:341 LOGAN ST
Practice Address - Street 2:SUITE 120
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1557
Practice Address - Country:US
Practice Address - Phone:317-776-3310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty