Individual
MR. LOREN DALE KMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUDIOLOGIST
Contact information
Practice address
215 N 3RD ST, BRAINERD, MN 56401-3331
(218) 829-2162
(218) 828-5013
Mailing address
215 N 3RD ST, BRAINERD, MN 56401-3331
(218) 829-2162
(218) 828-5013
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7307
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161081
UCARE
MN
05
—
266652900
—
MN
01
—
96G70KM
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/26/2008
Last updated
10/26/2008
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