Healthcare Provider Details

I. General information

NPI: 1619369725
Provider Name (Legal Business Name): KARA DUFFEY AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2015
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 SHAWNEE ST
SAVANNAH GA
31419-1618
US

IV. Provider business mailing address

1170 SHAWNEE ST
SAVANNAH GA
31419-1618
US

V. Phone/Fax

Practice location:
  • Phone: 843-577-5011
  • Fax:
Mailing address:
  • Phone: 843-577-5011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3042
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License Number3042
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number3042
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: