Individual
KENNETH LEE GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9535 ASH ST, #211, OVERLAND PARK, KS 66207-3291
(913) 341-5647
Mailing address
9535 ASH ST, #211, OVERLAND PARK, KS 66207-3291
(913) 341-5647
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4000
MO
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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