Kenneth A Ebert in Hobart - Nurse Anesthetist, Certified Registered

Kenneth A Ebert - NPI 1619928058

Kenneth A Ebert is a Nurse Anesthetist, Certified Registered in Hobart, Indiana. Kenneth A Ebert practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Kenneth A Ebert is 1619928058. The last update date is 2015-08-04.

Kenneth A Ebert's current location address is 1500 S Lake Park Ave, Hobart, Indiana. You can contact this provider via phone number 2199476695 and fax number 2199476092. The mailing address for Kenneth A Ebert is 1500 S Lake Park Ave, Hobart, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth A Ebert
Address 1500 S Lake Park Ave, Hobart, Indiana
Phone Number 2199476695
Fax Number 2199476092
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1619928058
Provider Enumeration Date 2006-05-12
Last Updated Date 2015-08-04

Provider Mailing Address Detail

Address 1500 S Lake Park Ave
City Hobart
State Indiana (IN)
Post Code 463426638
Phone Number 2199476695
Fax Number 2199476092

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 28128216A
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200097770 IN --

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FAQs about Kenneth A Ebert

What is the Kenneth A Ebert's unique identification number?

The Kenneth A Ebert has been assigned the NPI (National Provider Identifier) Number 1619928058 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Kenneth A Ebert?

The Kenneth A Ebert is physically situated at 1500 S Lake Park Ave, in the city of Hobart, state of IN, with the postal code 463426638.

What is Kenneth A Ebert's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kenneth A Ebert is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.

On what date did the Kenneth A Ebert receive the assignment of its 1619928058 from the Centers for Medicare & Medicaid Services?

The Kenneth A Ebert was issued its 1619928058 by the Centers for Medicare & Medicaid Services on 2006-05-12.

As of what date was the information pertaining to Kenneth A Ebert, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kenneth A Ebert, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-08-04.

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