Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | 200101356 | NC |
Y | 207RG0300X | Geriatric Medicine | 35474 | FL |
NPI | 1275565574 |
---|---|
Provider Name | Jeffrey Hamilton Kuch |
First Address | Hickory, NC 28602-9695 |
Second Address | Hickory, NC 28602-9695 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 15/09/2008 |