Provider Demographics
NPI:1841255395
Name:METZ-DUNN, DONNA L (MD)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:L
Last Name:METZ-DUNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:4950 NORTON HEALTHCARE BLVD
Practice Address - Street 2:#100
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241
Practice Address - Country:US
Practice Address - Phone:502-394-6200
Practice Address - Fax:502-394-6210
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY26188207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
041704OtherSIHO / NMA
1184552OtherCHA / NMA
000000350623OtherANTHEM / NMA
000052154KOtherHUMANA / NMA
2445723000OtherPASSPORT ADVANTAGE /NMA
KY64261886Medicaid
50004358OtherPASSPORT / NMA
KYP00191721OtherRAILROAD MEDICARE
3614789OtherCIGNA / NMA
KYP00191721OtherRAILROAD MEDICARE
KY64261886Medicaid