Provider Demographics
NPI:1336467596
Name:DUFFY, CARRIE MICHELLE (DO)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:MICHELLE
Last Name:DUFFY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MRS
Other - First Name:CARRIE
Other - Middle Name:MICHELLE
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4401 WORNALL RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3220
Mailing Address - Country:US
Mailing Address - Phone:816-932-3584
Mailing Address - Fax:816-932-5873
Practice Address - Street 1:4401 WORNALL RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3220
Practice Address - Country:US
Practice Address - Phone:816-932-3584
Practice Address - Fax:816-932-5873
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2500057545207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology