Provider Demographics
NPI:1235219692
Name:KMETZ, EMILY COX (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:COX
Last Name:KMETZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:SUSANNAH
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:602 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6627
Practice Address - Country:US
Practice Address - Phone:843-881-4440
Practice Address - Fax:843-225-0110
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27899207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology