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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DANIELLE MARIE DIETZ, M.D.

Active

General Surgery · GEORGETOWN, KY

Registration Details

NPI Number
1558468462
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2006 (19.627525062319 yrs)
Last Updated
Jun 1, 2016
Licenses
TP770 (KY)
40300 (KY)

Practice Information

Address
1138 LEXINGTON RD
SUITE 230
GEORGETOWN, KY, 403249672
Browse KY providers · Browse ZIP 40324
Phone
5025703778
Fax
5025703779
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.