Kenneth Dean Moburg, CRNA
NPI #1336254689 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1336254689
- Entity Type
- Individual
- Name
- Kenneth Dean Moburg, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1298 EISENHOWER RD
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-5532
- Phone
- (913) 727-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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