NPI Code Details Logo

NPI 1043132673

NPI 1043132673 : KAELA GOETZ : LAFAYETTE, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1043132673
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KAELA GOETZ
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/27/2026
-----------------------------------------------------
    Last Update Date     |    07/27/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    280 EXEMPLA CIR 
-----------------------------------------------------
    City                 |    LAFAYETTE
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80026-3370
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    303-861-3382
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    19726 E BELLEWOOD DR 
-----------------------------------------------------
    City                 |    CENTENNIAL
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80015-3422
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    720-810-8241
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207QS1201X
-----------------------------------------------------
    Taxonomy Name        |    Sleep Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    RTL.0004837
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.