Provider Demographics
NPI:1073000246
Name:DON R DUFF
Entity Type:Organization
Organization Name:DON R DUFF
Other - Org Name:THE KIDNEY SPEICALISTS OF KENTUCKIANA PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:R
Authorized Official - Last Name:DUFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-365-2655
Mailing Address - Street 1:3999 DUTCHMANS LN STE 4A
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4745
Mailing Address - Country:US
Mailing Address - Phone:502-365-2655
Mailing Address - Fax:502-365-2770
Practice Address - Street 1:3999 DUTCHMANS LN STE 4A
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-365-2655
Practice Address - Fax:502-365-2770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty