Provider Demographics
NPI:1831103134
Name:KUC, EUGENE JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:JOHN
Last Name:KUC
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2200 FORT ROOTS DR # 116F2NLR
Mailing Address - Street 2:BUILDING 170, UNIT 1L, ROOM 1L-111
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-1709
Mailing Address - Country:US
Mailing Address - Phone:501-257-3131
Mailing Address - Fax:
Practice Address - Street 1:2200 FORT ROOTS DR # 116F2NLR
Practice Address - Street 2:BUILDING 170, UNIT 1L, ROOM 1L-111
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-1709
Practice Address - Country:US
Practice Address - Phone:501-257-3131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL360945372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry