Provider Demographics
NPI:1699794685
Name:KUY, DANIEL G (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:G
Last Name:KUY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 EDWARDS RD STE 550
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1149
Mailing Address - Country:US
Mailing Address - Phone:844-794-7763
Mailing Address - Fax:513-891-7469
Practice Address - Street 1:3825 EDWARDS RD STE 550
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1149
Practice Address - Country:US
Practice Address - Phone:844-794-7763
Practice Address - Fax:513-891-7469
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY33754208200000X
OH73700208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH234611Medicare PIN
KYK101731Medicare PIN
KYG62776Medicare UPIN