Organization
KG MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN GOETZ NP (OWNER)
(620) 727-5990
Entity
Organization
Contact information
Practice address
19110 W LONG VIEW RD, ABBYVILLE, KS 67510-9416
(620) 727-5990
Mailing address
19110 W LONG VIEW RD, ABBYVILLE, KS 67510-9416
(620) 727-5990
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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