Individual
MR. KENNETH W MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 943-5901
(814) 943-3429
Mailing address
1701 12TH AVE, ALTOONA, PA 16601-3100
(814) 943-5901
(814) 943-3429
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN554428
PA
Other
Enumeration date
11/28/2012
Last updated
12/04/2012
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