Provider Demographics
NPI:1851155634
Name:DUFFY, KIERSTEN MICHELLE (PA-C)
Entity Type:Individual
Prefix:
First Name:KIERSTEN
Middle Name:MICHELLE
Last Name:DUFFY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9135 RIDGELINE BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2395
Mailing Address - Country:US
Mailing Address - Phone:303-800-6093
Mailing Address - Fax:
Practice Address - Street 1:9935 SYLVESTOR RD
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-6212
Practice Address - Country:US
Practice Address - Phone:630-780-0127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant