Provider Demographics
NPI:1255746384
Name:GOETZ, KRISTIN L (APRN)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:L
Last Name:GOETZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67514-1431
Mailing Address - Country:US
Mailing Address - Phone:620-860-9490
Mailing Address - Fax:316-395-1139
Practice Address - Street 1:100 S LINCOLN ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:KS
Practice Address - Zip Code:67514-1431
Practice Address - Country:US
Practice Address - Phone:620-860-9490
Practice Address - Fax:316-395-1139
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-76274-041363LF0000X
KS13-109121-041163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency