Individual
MRS. KATHERINE A DUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
001705
CT
363AS0400X
Surgical Physician Assistant
Primary
0110003282
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053482950
ANTHEM MEDIGAP
VA
01
—
1053482950
SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
—
01
—
371194700
BLACK LUNG
VA
01
—
540506332115
TRICARE/CHAMPUS
VA
01
—
P00857192
RAILROAD MEDICARE
VA
Enumeration date
11/13/2006
Last updated
01/19/2015
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