Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith Duffy, MD

Individual provider Dermatology Physician · NPI 1770779050

Dr. Keith Duffy, MD is a Dermatology in Salt Lake City, Utah. Graduated from State University of Ny Upstate Medical University in 2004, 22 years ago. Practices with Makana North Shore Dermatology, a 6-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
22
Trained at
State University of Ny Upstate Medical University
Licensed in
UT
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

University Of Utah Dept OF 50 N Medical DR
Salt Lake City, UT 84112-1102
Phone: (801) 587-6340
Fax: (801) 587-6346
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 6099540-1205 (UT)
Dermatology Physician Taxonomy 207N00000X · Licence 6099540-1205 (UT)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 60995401205 (UT)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 60995401205 (UT)

Record details

NPI number1770779050
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 19, 2007
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2004 (22 years in practice)
Group practice Makana North Shore Dermatology — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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