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Contact Information

NANCY R DUNCAN LARRY, PA
100 HIGH RISE DRIVE
LOUISVILLE, KY40213
 Phone: 502-964-3688
 Fax: 502-968-7146
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NANCY R DUNCAN LARRY · (Female)

NPI # 1063489854
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/01/2006
Last updated 09/30/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AR License # PA247
  • OK License # 1299
  • AR Medicaid 159884741
  • OK Medicaid 200016720A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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