Moburg, Kenneth Dean

Moburg, Kenneth Dean is an sole proprietor health care provider with primary practice located at 1298 Eisenhower Rd , Leavenworth KS 66048-5532. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Moburg, Kenneth Dean can be contacted via phone (913) 727-5600.

Contact Information

Primary practice address
1298 Eisenhower Rd Leavenworth KS 66048-5532
Phone: (913) 727-5600
Fax: (913) 727-5602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 54173 Kansas

Profile Details

NPI number 1336254689
LBN Legal business name Moburg, Kenneth Dean
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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