Individual
KATHLEEN J DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1520 W STATE ST, STE 100, BOISE, ID 83702-4038
(208) 947-7700
(208) 947-7701
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 947-7700
(208) 947-7701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA452
ID
Other
Enumeration date
01/18/2006
Last updated
02/16/2011
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