Provider Demographics
NPI:1194043166
Name:KUECK, KATHLEEN DEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:DEAN
Last Name:KUECK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 W 34TH ST STE 308
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1922
Mailing Address - Country:US
Mailing Address - Phone:512-459-8082
Mailing Address - Fax:512-458-5446
Practice Address - Street 1:1305 W 34TH ST STE 308
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1922
Practice Address - Country:US
Practice Address - Phone:512-459-8082
Practice Address - Fax:512-458-5446
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7729207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology