Individual
DANIEL KMETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Mailing address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01083677A
IN
208800000X
Urology Physician
53632
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122620026
MEDICARE
IN
05
—
300036570
—
IN
05
—
7100656060
—
KY
01
—
K304530
MEDICARE
KY
Enumeration date
03/31/2015
Last updated
07/23/2024
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