Provider Demographics
NPI:1932492642
Name:DUFFEY, CYNTHIA J (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:J
Last Name:DUFFEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-2434
Mailing Address - Country:US
Mailing Address - Phone:785-460-3224
Mailing Address - Fax:785-460-3225
Practice Address - Street 1:320 N LAKE AVE
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701-2434
Practice Address - Country:US
Practice Address - Phone:785-460-3224
Practice Address - Fax:785-460-3225
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-27
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05402111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor