Kelly Jean Duffy, MD | |
114 Kinderton Blvd, Advance, NC 27006-7302 | |
(336) 998-9742 | |
(336) 998-9410 |
Full Name | Kelly Jean Duffy |
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Gender | Female |
Speciality | Pediatrics |
Location | 114 Kinderton Blvd, Advance, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801187059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2014-00111 (North Carolina) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | 172764 (North Carolina) | Secondary |
Entity Name | Wake Forest Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 |
Mailing Address | Practice Location Address |
---|---|
Kelly Jean Duffy, MD 1701 Westchester Dr, Ste 850, High Point, NC 27262-7008 Ph: (336) 802-2400 | Kelly Jean Duffy, MD 114 Kinderton Blvd, Advance, NC 27006-7302 Ph: (336) 998-9742 |
Dr. Susan Yurgel Hunsinger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 114 Kinderton Blvd, Advance, NC 27006 Phone: 336-998-9742 Fax: 336-998-9410 | |
John H Myracle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 114 Kinderton Blvd, Advance, NC 27006 Phone: 336-998-9742 Fax: 336-998-9410 | |
Dr. Kathy Lynn Gross, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 114 Kinderton Blvd, Advance, NC 27006 Phone: 336-998-9742 Fax: 336-998-9410 |