Provider Demographics
NPI:1811029580
Name:DUFFEE, ANDREW RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:RICHARD
Last Name:DUFFEE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6801 DIXIE HWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40258-3913
Mailing Address - Country:US
Mailing Address - Phone:502-647-7708
Mailing Address - Fax:502-647-7747
Practice Address - Street 1:101 STONECREST RD
Practice Address - Street 2:SUITE 2
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-8169
Practice Address - Country:US
Practice Address - Phone:502-647-7708
Practice Address - Fax:502-647-7747
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2012-09-13
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Provider Licenses
StateLicense IDTaxonomies
KY44943207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100209360Medicaid
KYK052440Medicare Oscar/Certification