KELLY HERNE DUNCAN (NPI# 1184690083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184690083 |
| Entity Type | Individual |
| Full Name | KELLY HERNE DUNCAN |
| Other Name | KELLY L HERNE |
| Credential | MD |
| Practice Address |
430 S Mason Rd Suite 101 Katy TX 77450-2447 |
| Practice Telephone | 2813923803 |
| Practice Fax Number | 2813922766 |
| Mailing Telephone | 2813923803 |
| Mailing Fax Number | 2813922766 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | L2317 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA PPO | 7921718 | 01 | |
| RR MEDICARE - BRAZORIA | P00264644 | 01 | |
| BCBS | 8J9633 | 01 | |
| MEDICARE - BRAZORIA | 8F0819 | 01 | |
| AETNA HMO | 3833541 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093042459 | Kelly J Duncan | Massage Therapist | 19w253 Ginger Brook Dr N, Oak Brook, IL 60523-1094 | 2009-11-05 |
| 1912954983 | Kelly Michael Duncan | Optometrist | 1000a Vann Dr, Jackson, TN 38305-6001 | 2006-05-27 |
| 1548860562 | Kelly Denise Duncan | Pharmacist | 2114 S Main St, Grove, OK 74344-5356 | 2020-10-28 |
| 1669948709 | Kelly Leann Duncan | Registered Nurse | 331 N Shafter Ave, Shafter, CA 93263-1967 | 2018-10-16 |
| 1689031833 | Kelly Duncan | Speech-Language Pathologist | 2128 Elmwood Ave, Buffalo, NY 14207-1910 | 2016-01-19 |
| 1699085050 | Kelly D Duncan | Midwife | 245 Memorial Dr, Jacksonville, NC 28546-6333 | 2010-10-19 |
| Street Address |
430 S MASON RD SUITE 101 |
| City | KATY |
| State | TX |
| Zip Code | 77450-2447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700852605 | Sherry N Ingraham | Dermatology | 430 S Mason Rd, Suite 101, Katy, TX 77450-2447 | 2006-02-28 |
| 1871971374 | Quynh-giao Ly Nguyen | Dermatology | 430 S Mason Rd, Katy, TX 77450-2447 | 2015-05-15 |
| 1710917521 | Advanced Dermatology and Skin Care Pa | Dermatology | 430 S Mason Rd, Suite 101, Katy, TX 77450-2447 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447661939 | Alexander Marzuka | Dermatology | 430 S Mason Rd Ste 101, Katy, TX 77450 | 2014-05-19 |
| 1386055382 | Adrian Subrt | Dermatology | 1331 W Grand Pkwy N Ste 370, Katy, TX 77493-2737 | 2014-05-13 |
| 1003250457 | Connie Mengyan Wang | Dermatology | 4603 Fm 1463 Rd Ste 100, Katy, TX 77494-6545 | 2013-04-28 |
| 1033466487 | Robert Lin | Dermatology | 23530 Kingsland Blvd Ste 140, Katy, TX 77494-7466 | 2012-08-03 |
| 1215202015 | Dr. W. Dermatology | Dermatology | 22028c Highland Knolls Dr, Katy, TX 77450-5859 | 2012-03-13 |
| 1992084735 | Rod Mahmoudizad | Dermatology | 21800 Katy Fwy Ste 200, Katy, TX 77449-7780 | 2011-08-10 |
| 1801039722 | Kelly B Conner | Dermatology | 2643 Commercial Center Blvd, Ste B360, Katy, TX 77494-6408 | 2009-04-07 |
| 1700852605 | Sherry N Ingraham | Dermatology | 430 S Mason Rd, Suite 101, Katy, TX 77450-2447 | 2006-02-28 |
| 1033110929 | Adam J Czelusta | Dermatology | 21310 Provincial Blvd, Katy, TX 77450-7580 | 2005-08-02 |
| 1104337526 | Elite Dermatology, Pllc | Dermatology | 4603 Fm 1463 Rd Ste 100, Katy, TX 77494-6545 | 2017-10-12 |
| Find all providers in KATY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.