# DANIEL KMETZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1659766319
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01083677A | IN | Yes |
| 208800000X | Urology Physician | 53632 | KY | — |

## Other

- **Enumeration date:** 03/31/2015
- **Last updated:** 07/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 122620026 | MEDICARE | IN |
| 05 | — | 300036570 | — | IN |
| 05 | — | 7100656060 | — | KY |
| 01 | — | K304530 | MEDICARE | KY |