Kerry John Duncan Jr., ATC
Specialist/Technologist, Athletic Trainer in Citrus Heights, CA. Individual provider (NPI-1).
NPI number1336728690
StatusActive
Last updated in NPPESApr 5, 2021
Details
- NPI
- 1336728690
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kerry John Duncan Jr.
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2021
- Certification date
- Apr 5, 2021
- Last updated
- Apr 5, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 060802441 | CA | Yes |
Practice location
6380 Denton Way Apt 38Citrus Heights, CA 95610-5157
Phone 916-837-8923
Mailing address
9000 E Nichols Ave Ste 104Centennial, CO 80112-3429
Phone 844-274-6849
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Other Athletic Trainer providers in Citrus Heights, CA
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