MR. Kenneth Allen Moberg, NURSE PRACTITIONER is an adult health nurse practitioner in New York, NY. MR. Kenneth Allen Moberg, NURSE PRACTITIONER NPI is 1033379540. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
121B WEST 20TH STREET
VILLAGE DIAGNOSTIC & TREATMENT CENTER
NEW YORK, NY
ZIP 10011
Phone: (212) 337-9290
Fax: (212) 337-9275
The NPI 1033379540 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/10/2008 and was last updated on 8/27/2013.