| Doctor Name: | KRISTY O'DELL DUFFEY |
| NPI Number: | 1104981224 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | LD-0000115 |
| Business Practice Address: | 6085 Marshalee Dr Elkridge, MD - 210756023 |
| Business Phone Number: | 4103793528 |
| Business Fax Number: | 4103793591 |
| Mailing Address: | 8906 Winged Foot Dr, PASADENA |
| State: | MD |
| Postal Code: | 211226670 |
| Phone Number: | 4103605140 |
| Fax Number: | 4103793591 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | LD-0000115 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |