# MR. KEVIN DUFFUS

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

## Provider details

- **NPI number:** 1902847049
- **Gender:** Man
- **Credential:** MSPT, CSCS, CERT MDT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | CP032776T | MD | Yes |
| 225100000X | Physical Therapist | QA05548 | NJ | — |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 08/02/2024