Healthcare Provider Details

I. General information

NPI: 1326952664
Provider Name (Legal Business Name): HEATHER KUC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 MAIN ST
TOLEDO OH
43605-2091
US

IV. Provider business mailing address

313 JEFFERSON AVE
TOLEDO OH
43604-1004
US

V. Phone/Fax

Practice location:
  • Phone: 419-255-7883
  • Fax: 419-720-7895
Mailing address:
  • Phone: 419-255-7883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number196022
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: