Provider Demographics
NPI:1306130539
Name:DUFFY, EMILY KATHERINE (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KATHERINE
Last Name:DUFFY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:PROVIDER ENROLLMENT
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-701-5200
Mailing Address - Fax:816-302-9939
Practice Address - Street 1:3101 BROADWAY BLVD
Practice Address - Street 2:DERMATOLOGY DIVISION
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2659
Practice Address - Country:US
Practice Address - Phone:816-960-4100
Practice Address - Fax:816-960-4053
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2023-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS0438934208000000X
PAMD450812208000000X
MO2016011749208000000X
WAMD60981346207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics