Provider Demographics
NPI:1568904282
Name:DUX, KASEY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KASEY
Middle Name:
Last Name:DUX
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5318 B ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97478-6152
Mailing Address - Country:US
Mailing Address - Phone:541-514-0121
Mailing Address - Fax:
Practice Address - Street 1:360 S GARDEN WAY STE 290
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8175
Practice Address - Country:US
Practice Address - Phone:541-844-1807
Practice Address - Fax:541-844-1681
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-11
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPA180023363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant