Blair Kaichen Duddy
MD | Pediatrics | Male
Blair Kaichen Duddy, MD is a Las Vegas, Nevada based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Blair Kaichen Duddy is
2704 N Tenaya Way, Las Vegas, Nevada - 89128-0424. He can be contacted on phone at
702-243-8500 and fax number 702-869-5347.
Blair Kaichen Duddy is a sole proprietor of his business.
NPI number (Unique professional ID) for Blair Kaichen Duddy is
1063414761 which was assigned by NPPES on 11 Aug, 2005 and it was last updated on 01 Sep, 2016.
Blair Kaichen Duddy license number is
7316 for Pediatrics (208000000X) in Nevada.
Blair Kaichen Duddy is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Blair Kaichen Duddy basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Blair Kaichen Duddy |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Blair Kaichen Duddy address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2704 N Tenaya Way
Las Vegas, NV, 89128-0424
United States |
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| Phone Number : | 702-243-8500 |
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| Fax Number : | 702-869-5347 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1063414761 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Aug, 2005 |
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| Last Updated On : | 01 Sep, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blair Kaichen Duddy are as mentioned. Primary taxonomy code for Blair Kaichen Duddy, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 7316 | NV |
Legacy Identifiers:
Other legacy medical identifiers of Blair Kaichen Duddy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| V114364 | Other | NV | SSMA MEDICARE |
| 1063414761 | MEDICAID | NV | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 15645
Las Vegas, NV, 89114-5645
United States |
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| Phone Number : | 702-579-3298 |
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| Fax Number : | 702-667-4689 |
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Business Location:
Patients can refer following map for directions to
Blair Kaichen Duddy practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.