OrganizationActive
Goddard Medical, LLC
NPI 1366033359 · General Practice Physician · Overland Park, KS
Provider details
- NPI number
- 1366033359
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Maria Goddard, Chief Executive Officer
Practice location
11936 W 119th St # 158
Overland Park, KS 66213-2216
Phone: (913) 735-9044
Mailing address
11936 W 119th St # 158
Overland Park, KS 66213-2216
Registry dates
- Enumerated
- 2021-02-01
- Last updated
- 2021-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.