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KENNETH DEAN MOBURG CRNA
NPI 1336254689
Nurse Anesthetist, Certified Registered in Leavenworth, KS

Active since August 20, 2006
1298 EISENHOWER RD, LEAVENWORTH, KS 66048(913) 727-5600(913) 727-5602 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenneth Dean Moburg Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH DEAN MOBURG CRNA (NPI 1336254689) is an individual nurse anesthetist, certified registered in Leavenworth, Kansas, licensed in Kansas (54173) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1336254689
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKENNETH DEAN MOBURGCredential: CRNA
Location Address1298 EISENHOWER RDLeavenworth, KS 66048-5532
Mailing AddressPo Box 189Lansing, KS 66043-0189 · (913) 250-0668
Phone(913) 727-5600
Fax(913) 727-5602
Sole ProprietorYes
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336254689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KS · 54173
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1298 EISENHOWER RD, Leavenworth, KS 66048
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Other Identifiers 1

Medicare ID-Type UnspecifiedP840000AKS

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHRISTINE M JOHNSON CRNA
Nurse Anesthetist, Certified Registered
1298 EISENHOWER RD
LEAVENWORTH, KS 66048
Leavenworth County (913) 727-5600
SUZANNE K MARSKE CRNA
Nurse Anesthetist, Certified Registered
1298 EISENHOWER RD
LEAVENWORTH, KS 66048
Leavenworth County (913) 727-5600
WILLIAM JOSEPH MATHIA CRNA
Nurse Anesthetist, Certified Registered
1298 EISENHOWER RD
LEAVENWORTH, KS 66048
Leavenworth County (913) 727-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Moburg's NPI number?

The NPI number for Kenneth Moburg is 1336254689. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Kenneth Moburg located?

Kenneth Moburg practices at 1298 Eisenhower Rd, Leavenworth, KS 66048. The listed phone number is (913) 727-5600.

What is Kenneth Moburg's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Kenneth Moburg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.