Individual
CHERYL R KUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1010 VALLEY ST, DAYTON, OH 45404-2070
(937) 641-4000
(937) 641-4500
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
35.068454
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187793
—
OH
Enumeration date
04/07/2006
Last updated
11/11/2024
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