# KC ENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912770405
- **Authorized official:** PETER GOCHEE MD (PHYSICIAN OWNER)
- **Authorized official phone:** (913) 722-1222

## Contact information

- **Practice address:** 5916 N LUCERNE AVE, KANSAS CITY, MO 64151-3557
- **Practice address phone:** (913) 722-1222
- **Mailing address:** 5916 N LUCERNE AVE, KANSAS CITY, MO 64151-3557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2023
- **Last updated:** 11/06/2023