Provider Demographics
NPI:1962529800
Name:DUFFY, KATHLEEN A (CERTIFIED SURGICAL F)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:A
Last Name:DUFFY
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Gender:F
Credentials:CERTIFIED SURGICAL F
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Mailing Address - Street 1:10297 SW WEST PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34987-2118
Mailing Address - Country:US
Mailing Address - Phone:561-251-1309
Mailing Address - Fax:772-345-6120
Practice Address - Street 1:10297 SW WEST PARK AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34987-2118
Practice Address - Country:US
Practice Address - Phone:561-251-1309
Practice Address - Fax:772-345-6120
Is Sole Proprietor?:No
Enumeration Date:2007-03-24
Last Update Date:2025-05-18
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical