Individual
KEVIN DALE METZKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
283 DEWFALL DR, SUNBURY, OH 43074-8529
(614) 425-0300
Mailing address
283 DEWFALL DR, SUNBURY, OH 43074-8529
(614) 425-0300
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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