Kuck, Cheryl R

Kuck, Cheryl R is an individual health care provider with primary practice located at 1010 Valley St , Dayton OH 45404-2070. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kuck, Cheryl R can be contacted via phone (937) 641-4000.

Contact Information

Primary practice address
1010 Valley St Dayton OH 45404-2070
Fax: (937) 641-4500
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-068454 Ohio

Profile Details

NPI number 1386607810
LBN Legal business name Kuck, Cheryl R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Oct 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386607810 NPPES
Ohio MEDICAID 0187793

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