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NPI Code Detail

MEDICARE: DR. KARA GOOCH OTD

MEDICARE: DR. KARA GOOCH OTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistT-06527KS

General Provider Information

NPI Number : 1407789233
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARA GOOCH OTD
Provider Business Mailing Address
First Line : 10100 E SHANNON WOODS CIR
Second Line :
City : WICHITA
State : KS
Zip : 67226-4104
Country : US
Telephone Number : 316-462-7450
Fax Number :
Provider Business Practice Location Address
First Line : 10100 E SHANNON WOODS CIR
Second Line :
City : WICHITA
State : KS
Zip : 67226-4104
Country : US
Telephone Number : 316-462-7450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ DR. KARA GOOCH OTD” Practice Location

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