MEDICARE: DR. KELLY DUFFNER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4287	OH

General Provider Information

NPI Number	:	1235499401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELLY DUFFNER D.C.

Provider Business Mailing Address
First Line	:	1429 SPRINGFIELD PIKE STE C
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-2193
Country	:	US
Telephone Number	:	513-445-4808
Fax Number	:	513-445-4808

Provider Business Practice Location Address
First Line	:	1429 SPRINGFIELD PIKE STE C
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-2193
Country	:	US
Telephone Number	:	513-445-4808
Fax Number	:	513-445-4808

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2012
Last Update Date	:	01/03/2024

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Directions to “ DR. KELLY DUFFNER D.C.” Practice Location

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