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Individual

SAMUEL GOETSCHIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
7300 W 110TH ST STE 700, OVERLAND PARK, KS 66210-2332
(620) 704-0224
Mailing address
3311 YELLOWSTAR ST, GARDEN CITY, KS 67846-6992
(913) 295-0501
(620) 634-0765

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
53-76527-011
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
76527
KS

Other

Enumeration date
11/17/2014
Last updated
12/26/2025
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