Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 01033037 | IN |
NPI | 1124023106 |
---|---|
Provider Name | Steven P Kuric |
First Address | Louisville, KY 40207-4640 |
Second Address | Evansville, IN 47710-5610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 05/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100179850 | (05) | IN |
E29064 | (02) | IN |