Goertz, Kenneth K

Goertz, Kenneth K is an individual health care provider with primary practice located at 3901 Rainbow Blvd 2026 Miller Mail Stop 4004, Kansas City KS 66160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Goertz, Kenneth K can be contacted via phone (913) 588-6301.

Contact Information

Primary practice address
3901 Rainbow Blvd 2026 Miller Mail Stop 4004 Kansas City KS 66160
Phone: (913) 588-6301
Fax: (913) 588-6319
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-17109 Kansas

Profile Details

NPI number 1356450241
LBN Legal business name Goertz, Kenneth K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356450241 NPPES
Other 110129358 RAILROAD MEDICARE
MEDICAID 201128808 RAILROAD MEDICARE
Other 09325014 RAILROAD MEDICARE
Other 625860 RAILROAD MEDICARE
MEDICAID 100168740A RAILROAD MEDICARE

Popular Providers