Provider Demographics
NPI:1386311199
Name:DUFFY, EMILY MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:MARIE
Last Name:DUFFY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 52ND RD
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:KS
Mailing Address - Zip Code:66417-8438
Mailing Address - Country:US
Mailing Address - Phone:785-294-2336
Mailing Address - Fax:
Practice Address - Street 1:6220 FIFTH STREET
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:KS
Practice Address - Zip Code:66417
Practice Address - Country:US
Practice Address - Phone:785-294-2336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-28
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16375111N00000X
KS0106121111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor