Mr. Kenneth Allen Moberg, NURSEPRACTITIONER
Mr. Kenneth Allen Moberg, NURSEPRACTITIONER is an Adult Health Nurse Practitioner in New York, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2008
Practice location Address checks out
121B W 20th Street Village Diagnostic & Treatment CtrNew York, NY 10011 Not confirmed with CMS for 13 years — call before visiting
Phone: (212) 337-9290
Fax: (212) 337-9275
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence F302611-1 (NY) |
|---|
Record details
| NPI number | 1033379540 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2008 |
| Last updated in NPPES | August 27, 2013 |
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