Provider Demographics
NPI:1225520265
Name:GOEHRING, KINZEE
Entity type:Individual
Prefix:
First Name:KINZEE
Middle Name:
Last Name:GOEHRING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 395
Mailing Address - Street 2:
Mailing Address - City:CARPENTER
Mailing Address - State:WY
Mailing Address - Zip Code:82054-0395
Mailing Address - Country:US
Mailing Address - Phone:307-287-2652
Mailing Address - Fax:
Practice Address - Street 1:2504 9TH AVE
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68849-5207
Practice Address - Country:US
Practice Address - Phone:308-865-8441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer