Provider Demographics
NPI:1417832494
Name:DUFF, JAMES LAWRENCE
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LAWRENCE
Last Name:DUFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 ROAD TO JUSTICE
Mailing Address - Street 2:
Mailing Address - City:WEST LIBERTY
Mailing Address - State:KY
Mailing Address - Zip Code:41472-2140
Mailing Address - Country:US
Mailing Address - Phone:606-743-2800
Mailing Address - Fax:
Practice Address - Street 1:200 ROAD TO JUSTICE
Practice Address - Street 2:
Practice Address - City:WEST LIBERTY
Practice Address - State:KY
Practice Address - Zip Code:41472-2140
Practice Address - Country:US
Practice Address - Phone:606-743-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4037578363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily