Individual provider · Type 1 NPI

Kenneth Richard Kannenberg, CRNA

Certified Registered Nurse Anesthetist · Boise, ID

NPI number 1174579692 Active

Practice location

1055 N Curtis Rd
Boise, ID 83706-1352

Mailing address

PO Box 4268
Portland, OR 97208-4268

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XN27389 (ID)
Certified Registered Nurse Anesthetist Primary 367500000XRNA406 (ID)

Certified Registered Nurse Anesthetist: (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 creden…

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About NPI 1174579692

Kenneth Richard Kannenberg, CRNA's National Provider Identifier is 1174579692, issued on May 26, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Boise, ID. The record was last updated on Apr 7, 2011.