1043626039 NPI number — AMBER NECHOLE DUNCAN

Table of content: MRS. LALIA GERGES BARNES PA-C (NPI 1578904439)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043626039 NPI number — AMBER NECHOLE DUNCAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUNCAN
Provider First Name:
AMBER
Provider Middle Name:
NECHOLE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HACKNEY
Provider Other First Name:
AMBER
Provider Other Middle Name:
NECHOLE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1043626039
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 614
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOPKINSVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42241-0614
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-886-2205
Provider Business Mailing Address Fax Number:
270-886-0392

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
737B NORTH DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOPKINSVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42240-2620
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-881-9551
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/10/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  257077 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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