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Mr. Kenneth Allen Moberg, NURSEPRACTITIONER
Adult Health Nurse Practitioner in New York, New York
NPI 1033379540

Kenneth Allen Moberg is an Adult Health Nurse Practitioner based in New York, NY and is specialized in Adult Health. Kenneth Allen Moberg practices in New York, NY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Kenneth Allen Moberg is 1033379540 and holds a License No. F302611-1 (New York).

The current practice location address for Kenneth Allen Moberg is 121B West 20Th Street, New York, NY and can be reached out via phone at 212-337-9290 and via fax at 212-337-9275.

Location: 121B West 20Th Street, New York, NY, 10011
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Provider Profile Details
NPI Number
1033379540
Provider Name
Kenneth Allen Moberg
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
121B West 20Th Street, New York, NY, 10011
Phone Number
212-337-9290
Fax Number
212-337-9275
Provider Enumeration Date
06/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03084613 05 NY
institution
Provider Business Practice Location Address Details
Address
121B West 20Th Street
City
State
Zip
10011
Phone Number
212-337-9290
Fax Number
212-337-9275
person
Provider Business Mailing Address Details
Address
121B West 20Th Street
City
State
Zip
10011
Phone Number
212-337-9290
Fax Number
212-337-9275
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F302611-1 (New York)
Definition
Definition to come...
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