Kenneth K Goertz in Kansas City - Pediatrics

Kenneth K Goertz - NPI 1356450241

Kenneth K Goertz is a Pediatrics in Kansas City, Kansas. Kenneth K Goertz practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kenneth K Goertz is 1356450241. The last update date is 2007-07-09.

Kenneth K Goertz's current location address is 3901 Rainbow Blvd, Kansas City, Kansas. You can contact this provider via phone number 9135886301 and fax number 9135886319. The mailing address for Kenneth K Goertz is 3901 Rainbow Blvd, Kansas City, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth K Goertz
Address 3901 Rainbow Blvd, Kansas City, Kansas
Phone Number 9135886301
Fax Number 9135886319
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1356450241
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3901 Rainbow Blvd
City Kansas City
State Kansas (KS)
Post Code 66160
Phone Number 9135886301
Fax Number 9135886319

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 04-17109
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110129358 RAILROAD MEDICARE
201128808 MO --
9325014 MO BCBS KANSAS CITY
625860 KS FIRSTGUARD
100168740A KS --

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FAQs about Kenneth K Goertz

What is the unique provider identifier assigned to Kenneth K Goertz?

The Kenneth K Goertz has been issued the NPI (National Provider Identifier) 1356450241 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Kenneth K Goertz is geographically located?

The Kenneth K Goertz is physically situated at the following location: 3901 Rainbow Blvd, Kansas City, KS, 66160.

What is Kenneth K Goertz's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth K Goertz's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

On what date did the Kenneth K Goertz receive its 1356450241 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth K Goertz was assigned its 1356450241 by the Centers for Medicare & Medicaid Services on 2006-08-30.

As of what date were the Kenneth K Goertz's details last updated?

The information pertaining to the Kenneth K Goertz, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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