Individual
KELLY JEAN DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 KINDERTON BLVD, ADVANCE, NC 27006-7302
(336) 998-9742
(336) 998-9410
Mailing address
1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7008
(336) 802-2400
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2014-00111
NC
390200000X
Student in an Organized Health Care Education/Training Program
172764
NC
Other
Enumeration date
04/22/2011
Last updated
07/30/2014
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