Mr. Kenneth Allen Moberg
NURSE PRACTITIONER | Nurse Practitioner - Adult Health
121b West 20th Street, Village Diagnostic & Treatment Center, New York
New York, 10011
212-337-9290
Mr. Kenneth Allen Moberg is a New York, New York based nurse practitioner who is specialized as Adult Health nurse. Active license number of Mr. Kenneth Allen Moberg is F302611-1 for Adult Health in New York. His current practice location is 121b West 20th Street, Village Diagnostic & Treatment Center, New York. Patients can reach him at 212-337-9290 or can fax him at 212-337-9275. Mr. Kenneth Allen Moberg is NURSE PRACTITIONER with specialization in Adult Health and his NPI number (Unique professional ID assigned by NPPES) is 1033379540.
Mr. Kenneth Allen Moberg can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. He can see patients and promote healthy living and wellness. He can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Mr. Kenneth Allen Moberg speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Kenneth Allen Moberg |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Male |
| Credentials: | NURSE PRACTITIONER |
| Practice Address: | 121b West 20th Street, Village Diagnostic & Treatment Center, New York,
New York, 10011 |
| Phone: | 212-337-9290 |
| Fax: | 212-337-9275 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1033379540 |
| NPI Enumeration Date: | 10 Jun, 2008 |
| NPI Last Update On: | 27 Aug, 2013 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Kenneth Allen Moberg are as mentioned below.
| License Number | Specialization | State | Status | |
| F302611-1 | Adult Health | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Kenneth Allen Moberg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 03084613 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Kenneth Allen Moberg
121b West 20th Street, Village Diagnostic & Treatment Center
New York, New York |
| Zip: | 10011 |
| Phone Number: | 212-337-9290 |
| Fax Number: | 212-337-9275 |
Patients can reach Mr. Kenneth Allen Moberg at
121b West 20th Street, Village Diagnostic & Treatment Center, New York, New York or can
call to book an appointment on 212-337-9290.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.