Provider Demographics
NPI:1306482294
Name:DUNCAN, KELSEA (APRN)
Entity type:Individual
Prefix:
First Name:KELSEA
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 RABBIT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEBO
Mailing Address - State:KY
Mailing Address - Zip Code:42441-9718
Mailing Address - Country:US
Mailing Address - Phone:270-871-1532
Mailing Address - Fax:
Practice Address - Street 1:231 BURLEY AVE
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-8725
Practice Address - Country:US
Practice Address - Phone:270-885-7300
Practice Address - Fax:270-885-7198
Is Sole Proprietor?:No
Enumeration Date:2019-11-26
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3013835363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100637680Medicaid