Individual
KENNETH PAUL BARJENBRUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9733 SPRING STREET, OMAHA, NE 68124
(402) 397-7460
Mailing address
9733 SPRING STREET, OMAHA, NE 68124-2743
(402) 397-7460
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11302
NE
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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