Individual
DR. THOMAS E KUICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1965 S FREMONT AVE, SUITE 330, SPRINGFIELD, MO 65804-2201
(417) 820-8180
(417) 820-8183
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2000158321
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138917
MO BLUE SHIELD
MO
05
—
140938001
—
AR
05
—
204988406
—
MO
01
—
98660
ARK BLUE SHIELD
AR
Enumeration date
02/14/2007
Last updated
05/13/2013
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