Individual
BENJAMIN KMETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 MEDLAR FIELD, STATE COLLEGE, PA 16802-3304
(602) 399-3735
Mailing address
112 MEDLAR FIELD, STATE COLLEGE, PA 16802-3304
(602) 399-3735
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006270
PA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
09/10/2020
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