KATHLEEN J DUFFY


Address: 1520 W State St, Ste 100, Boise, ID 83702-4038
Phone: 2089477700

KATHLEEN J DUFFY (NPI# 1154301141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154301141
Entity Type Individual
Full Name KATHLEEN J DUFFY
Credential PA-C
Practice Address 1520 W State St
Ste 100
Boise
ID 83702-4038
Mailing Address 190 E Bannock St
Boise
ID 83712-6241
Practice Telephone 2089477700
Practice Fax Number 2089477701
Mailing Telephone 2089477700
Mailing Fax Number 2089477701
Enumeration Date 2006-01-18
Last Update Date 2011-02-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA452 ID Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHLEEN DUFFY

NPI Name Taxonomy Address Enumeration
1417587742 Kathleen Kealy Duffy Acupuncturist 1209 Chicon St, Austin, TX 78702-2113 2020-01-26
1962529800 Kathleen A Duffy Physician Assistant 1211 Nw 15th St, Boca Raton, FL 33486-1204 2007-03-24
1104477645 Kathleen Mary Duffy Social Worker 8220 Castor Ave, Philadelphia, PA 19152-2729 2019-09-26
1619452521 Kathleen J Duffy Social Worker 3395 Plymouth Rd, Minnetonka, MN 55305-3765 2018-09-26
1285031864 Kathleen Duffy Speech-Language Pathologist 4 S Main St, Fall River, MA 02721-5327 2014-11-26
1659771897 Kathleen Duffy Dietitian, Registered 520 S Maple Ave, Oak Park, IL 60304-1022 2014-08-25
1851708291 Kathleen M Duffy Physician Assistant 202 10th St Se Ste 270, Cedar Rapids, IA 52403-2420 2014-07-17
1326283813 Kathleen Mary Duffy Counselor 36500 Aurora Dr, Summit, WI 53066-4899 2008-12-11

Office Location

Street Address 1520 W STATE ST
STE 100
City BOISE
State ID
Zip Code 83702-4038

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053311084 Jessica Anne Briggs Physician Assistant 1520 W State St, Suite 100, Boise, ID 83702-4085 2005-08-01
1124477716 Collin Reid Physical Therapist 1520 W State St, Suite 210, Boise, ID 83702-4085 2016-06-06
1285000380 Amelia Doty-jones Social Worker 1520 W State St, Boise, ID 83702-4085 2015-08-12
1508245010 Madeline Louise Lima Physician Assistant 1520 W State St, Boise, ID 83702-4085 2015-05-29
1316346059 Michelle P Doran Nurse Practitioner 1520 W State St, Ste 100, Boise, ID 83702-4085 2014-08-19
1114363199 Catherine Elizabeth Duke Physical Therapist 1520 W State St, Ste. 210, Boise, ID 83702-4085 2013-05-16
1134416647 Tara S Whitaker Family Medicine 1520 W State St, Suite 100, Boise, ID 83702-4085 2011-07-05
1053624759 St Lukes Regional Medical Center Internal Medicine 1520 W State St, Ste 100, Boise, ID 83702-4085 2010-07-22
1871769307 Nicole Barnes Physical Therapist 1520 W State St, Ste 210, Boise, ID 83702-4085 2008-05-05
1467621383 Nutritional Medicine of Idaho Nutritionist 1520 W State St, Suite 220, Boise, ID 83702-4085 2008-02-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321966 Inland Northwest Neuromonitoring Pllc Psychiatry & Neurology 950 Bannock Street, Suite 1100, Boise, ID 83702 2019-11-22
1508359084 Emily Cook Dietitian, Registered St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 2018-06-11
1265925887 Marla Braendle Dietitian, Registered St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 2018-06-08
1114419678 Sidrah Khan Psychotherapy PC Social Worker 242 N 8th St, Suite 200, Boise, ID 83702 2018-05-31
1508386707 Emp Idaho Nampa, LLC General Acute Care Hospital 350 E Myrtle Street, Suite 100, Boise, ID 83702 2017-06-20
1194264077 Karen Mangum Dietitian, Registered 115 N. Main Street, Suite #203, Boise, ID 83702 2017-02-13
1750828422 Stephen Pyper Massage Therapist 14089 Main St #100, Boise, ID 83702 2017-01-19
1427504398 The Young Mens Christian Association of Boise City Idaho Health Educator 419 N 11th St, Boise, ID 83702 2016-08-30
1942756838 Brent Hiroshi Sasaki Pharmacist 500 West Fort Street (119), Boise, ID 83702 2016-08-30
1578912051 Marnae Walker Counselor 509 S. 14th St, Suite 2, Boise, ID 83702 2016-06-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821695792 Chelsea Dylan Tennent Physician Assistant 1666 E Gentlewind St, Boise, ID 83706-5914 2020-10-05
1871114553 Samantha Tess Goodrich Physician Assistant 721 E Lenz St, Boise, ID 83712-7846 2020-05-04
1689131005 Aftin Jade Martens Physician Assistant 303 N Allumbaugh St, Boise, ID 83704-9208 2019-02-21
1215418140 Michael Edward Molnar Physician Assistant 2012 S Longmont Ave, Boise, ID 83706-4235 2018-08-28
1578059143 Mckenzie Hart Physician Assistant 4334 S Aleut Way, Boise, ID 83709-6033 2018-07-07
1174035638 Zacharia Njoroge Physician Assistant 1055 N Curtis Rd 6th Floor, Boise, ID 83706 2017-10-24
1073040242 Nicole Ankenbrandt Physician Assistant 3151 S Terra Dr, Boise, ID 83709-3831 2017-05-17
1346792033 Samantha Rae Lange Physician Assistant 1072 N Liberty St Ste 203, Boise, ID 83704 2016-10-27
1174070098 Alexandra W Clapp Physician Assistant 6140 West Curtisian Avenue Suite 200, Boise, ID 83704 2016-09-08
1376914838 Morgan Grace Roskelley Physician Assistant 703 S. Americana Blvd, Ste 120, Boise, ID 83702 2015-10-09
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Competitor

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City BOISE
Zip Code 83702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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