Provider Demographics
NPI:1730613795
Name:METZNER, KACY MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:KACY
Middle Name:MARIE
Last Name:METZNER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:663 ANDERSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-4751
Mailing Address - Country:US
Mailing Address - Phone:513-922-8200
Mailing Address - Fax:513-347-0082
Practice Address - Street 1:3026 POPLAR LEVEL RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1301
Practice Address - Country:US
Practice Address - Phone:502-636-4929
Practice Address - Fax:502-394-3629
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.020772363LF0000X
KY3017463363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily