Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1063055069 |
---|---|
Provider Name | Dr. Karin Sue Duncan |
First Address | Rathdrum, ID 83858-0017 |
Second Address | Rathdrum, ID 83858-0017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2019 |
Last Update Date | 22/10/2019 |