KEVIN DUFF (NPI# 1295720969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295720969 |
| Entity Type | Individual |
| Full Name | KEVIN DUFF |
| Credential | PHD |
| Practice Address |
650 Komas Dr 106a Salt Lake City UT 84108-1215 |
| Mailing Address |
650 Komas Drive 106a Salt Lake City UT 84108-1225 |
| Practice Telephone | 8015859983 |
| Practice Fax Number | 8015812483 |
| Mailing Telephone | 8015859983 |
| Mailing Fax Number | 8015812483 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2012-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 7381301-2501 | UT | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 00973 | IA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 00973 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 37712 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982942793 | Kevin Michael Duff | Nurse Anesthetist, Certified Registered | 2405 Osler Ct, Albany, GA 31707-0214 | 2013-01-29 |
| Street Address |
650 KOMAS DR 106A |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396000873 | Travis D Sorenson | Social Worker | 650 Komas Dr, Salt Lake City, UT 84108-1215 | 2012-07-10 |
| 1336410265 | Bethany H Lawrence | Social Worker | 650 Komas Dr, 200, Salt Lake City, UT 84108-1215 | 2012-01-24 |
| 1538451455 | University of Utah Adult Behavioral Health Services | Psychiatry & Neurology | 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 | 2011-05-11 |
| 1467614966 | Jonathan Cox | Psychologist | 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 | 2008-06-26 |
| 1437347481 | Emily Marie Grossell | Pediatrics | 650 Komas Dr, Suite 208, Salt Lake City, UT 84108-1215 | 2007-10-03 |
| 1952528374 | Benjamin Russell Chan | Psychiatry & Neurology | 650 Komas Dr, Suite 200, Salt Lake City, UT 84108-1215 | 2007-04-19 |
| 1619003449 | Michael Byron Johnson | Nurse Practitioner | 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 | 2007-02-26 |
| 1073659090 | Dianne Farrell Hale | Counselor | 650 Komas Dr, Suite 217-a, Salt Lake City, UT 84108-1215 | 2007-01-29 |
| 1700933538 | Rachele Mary Mccarthey | Pediatrics | 650 Komas Dr, Suite 208, Salt Lake City, UT 84108-1215 | 2007-01-04 |
| 1376641456 | Matthew Louis Moench | Psychiatry & Neurology | 650 Komas Dr, #208, Salt Lake City, UT 84108-1215 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770954356 | Erin Elizabeth Krauskopf | Clinical Neuropsychologist | 231 E 400 S Ste 335, Salt Lake City, UT 84111-2806 | 2015-10-08 |
| 1528469947 | Jordan Harris Rigby | Clinical Neuropsychologist | 230 S 500 E Ste 100, Salt Lake City, UT 84102-2048 | 2014-09-05 |
| 1154565729 | Keith Mcgoldrick | Clinical Neuropsychologist | 1733 S 1100 E Ste 102, Salt Lake City, UT 84105-3482 | 2009-04-27 |
| 1356593297 | Dustin Bradshaw Hammers | Clinical Neuropsychologist | 650 Komas Dr Ste 106a, Salt Lake City, UT 84108-1225 | 2008-10-22 |
| 1770612863 | Elaine Clark | Clinical Neuropsychologist | 501 Chipita Way, Univ of Utah Neuropsychiatric Institute, Salt Lake City, UT 84108 | 2007-03-05 |
| 1245251776 | Kelly D Garrett | Clinical Neuropsychologist | 333 South 900 East, Salt Lake City, UT 84102-2310 | 2006-07-21 |
| 1831150374 | Juan A. Mejia | Clinical Neuropsychologist | 327 Denver St, Salt Lake City, UT 84111-3002 | 2006-03-31 |
| 1518453406 | Joseph Un Kim | Clinical Neuropsychologist | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2018-07-03 |
| 1912362591 | Kelly Konopacki | Clinical Neuropsychologist | 501 Chipeta Way, Salt Lake City, UT 84108 | 2015-12-23 |
| 1922394220 | Jeremy J Davis | Clinical Neuropsychologist | 30 N 1900 E, 1r55, Salt Lake City, UT 84132-0002 | 2011-06-24 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
Please comment or provide details below to improve the information on KEVIN DUFF.
| 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.