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NPI 1073513412

NPI 1073513412 : CHRISTOPHER J KUC OD : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1073513412
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER J KUC OD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/28/2005
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    2353 ALEXANDRIA DR STE 260 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40504-3208
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    Country              |    US
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    Telephone            |    859-224-2655
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    Fax                  |    859-223-7147
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Provider Business Mailing Address
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    Address Line         |    2353 ALEXANDRIA DR STE 350 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40504-3208
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    Country              |    US
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    Telephone            |    859-224-2655
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    Fax                  |    859-223-7147
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    2463DT
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OEG001266
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    License Number State |    PA
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