KENNETH DEAN MOBURG

LEAVENWORTH, KS
NPI1336254689
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KS  54173)
Enumeration Date2006-08-20
Last Update Date2007-07-08
Business Address
-- KENNETH DEAN MOBURG CRNA
1298 EISENHOWER RD
LEAVENWORTH, KS 66048-5532
Phone number: 913-727-5600
Mailing Address
-- KENNETH DEAN MOBURG CRNA
PO BOX 189
LANSING, KS 66043-0189
Phone number: 913-250-0668
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