# KYLE DUFFEE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285816835
- **Gender:** Man
- **Credential:** OT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 056008150 | IL | Yes |

## Other

- **Enumeration date:** 12/05/2007
- **Last updated:** 12/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1619908 | MEDICARE GROUP NUMBER | IL |
| 01 | — | 599990 | MEDICARE GROUP NUMBER | IL |
| 01 | — | 600040 | MEDICARE GROUP NUMBER | IL |