Goetz, Kevin R

Goetz, Kevin R is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Goetz, Kevin R can be contacted via phone (859) 301-8074.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 301-8074
Fax: (859) 301-4945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 40586 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40586 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01086731A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 40586 Kentucky

Profile Details

NPI number 1508821737
LBN Legal business name Goetz, Kevin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 17th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508821737 NPPES
Kentucky MEDICAID 7100018590
Kentucky MEDICAID 2720596

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