Kmetzo, Renee Marie

Kmetzo, Renee Marie is an individual health care provider with primary practice located at 1 Boston Medical Ctr Pl , Boston MA 02118-2908. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Kmetzo, Renee Marie can be contacted via phone (617) 638-6950.

Contact Information

Primary practice address
1 Boston Medical Ctr Pl Boston MA 02118-2908
Phone: (617) 638-6950
Fax: (617) 638-6966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN2272306 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN2272306 Massachusetts

Profile Details

NPI number 1578122842
LBN Legal business name Kmetzo, Renee Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2019
Last updated Jun 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578122842 NPPES
Massachusetts MEDICAID 110175525A
Massachusetts MEDICAID 3136303

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