Individual
DR. DANIELLE MARIE DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1138 LEXINGTON RD, SUITE 230, GEORGETOWN, KY 40324-9672
(502) 570-3778
(502) 570-3779
Mailing address
1138 LEXINGTON RD, SUITE 230, GEORGETOWN, KY 40324-9672
(502) 570-3778
(502) 570-3779
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40300
KY
208600000X
Surgery Physician
TP770
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100003310
—
KY
Enumeration date
09/20/2006
Last updated
06/01/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us