Individual
KENNETH L GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 BRAUNLICH DRIVE, SUITE 480 MCKNIGHT PLAZA, PITTSBURGH, PA 15237
(412) 358-8666
(412) 358-8684
Mailing address
105 BRAUNLICH DRIVE, SUITE 480 MCKNIGHT PLAZA, PITTSBURGH, PA 15237
(412) 358-8666
(412) 358-8684
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD039657L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1141021
—
PA
01
—
387693
BLUE CROSS
PA
01
—
533157
BLUE SHIELD
PA
Enumeration date
08/31/2006
Last updated
09/19/2011
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