Individual
KATHRYN ANN OGBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-5386
(319) 235-3074
Mailing address
4150 KIMBALL AVE, PO BOX 2758, WATERLOO, IA 50701-9086
(319) 235-5390
(319) 233-1630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D067723
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467731786
—
IA
Enumeration date
08/04/2011
Last updated
03/29/2012
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