Individual
BRIAN JOHN GOENTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 N WOODLAWN BLVD, WICHITA, KS 67220-3902
(316) 500-1223
(800) 915-6113
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
04-39829
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201155750A
—
KS
Enumeration date
05/12/2009
Last updated
05/12/2026
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