Provider Demographics
NPI:1043528540
Name:KMETZ, RACHEL YOON (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:YOON
Last Name:KMETZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 S NEW BALLAS RD STE 499A
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8260
Mailing Address - Country:US
Mailing Address - Phone:314-251-7650
Mailing Address - Fax:
Practice Address - Street 1:621 S NEW BALLAS RD STE 499A
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8260
Practice Address - Country:US
Practice Address - Phone:314-251-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-17
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILY50072087950101YM0800X
IL036149980207V00000X
MO2015020400207V00000X
MO2021018181207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology