Healthcare Provider Details

I. General information

NPI: 1881080448
Provider Name (Legal Business Name): KRISTIN GOEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2015
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S COULTER ST
AMARILLO TX
79106-1786
US

IV. Provider business mailing address

1400 S COULTER ST
AMARILLO TX
79106-1786
US

V. Phone/Fax

Practice location:
  • Phone: 806-414-9654
  • Fax: 806-351-3787
Mailing address:
  • Phone: 806-414-9654
  • Fax: 806-351-3787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR0237
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: