Individual
DR. DON RYAN DUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3999 DUTCHMANS LN STE 4A, LOUISVILLE, KY 40207-4745
(502) 365-2655
(502) 365-2770
Mailing address
3999 DUTCHMANS LN STE 4A, LOUISVILLE, KY 40207-4745
(502) 365-2655
(502) 365-2770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25228
KY
207RN0300X
Nephrology Physician
Primary
25228
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000062786
ANTHEM
KY
01
—
1050701
PASSPORT
KY
05
—
200014920A
—
IN
05
—
64252281
—
KY
Enumeration date
06/09/2005
Last updated
08/27/2024
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