Individual
KATHY A DUFUR
Active
Individual
KATHY A DUFUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1564
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010150173
BLUE SHIELD
ID
05
—
807199600
—
ID
01
—
P00217064
RAILROAD MEDICARE
ID
01
—
TC308
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
02/09/2010
Update your record
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