NPI 1336254689

Kenneth Dean Moburg, CRNA

Practitioner Certified Registered Nurse Anesthetist Leavenworth, KS

Practice location

Address: 1298 Eisenhower Rd, Leavenworth, KS 66048-5532
Phone: (913) 727-5600
Fax: (913) 727-5602
Mailing address: PO Box 189, Lansing, KS 66043-0189

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 54173 (KS)

Other Nurse Anesthetist, Certified Registered providers in Kansas →

Registry record

NPI: 1336254689
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.