Individual
KENNETH C. SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
225 E ROBINSON ST, SUITE 130, ORLANDO, FL 32801-4322
(407) 581-9180
(865) 560-7066
Mailing address
PO BOX 4918, ORLANDO, FL 32802-4918
(407) 581-9180
(865) 560-7066
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9331225
FL
Other
Enumeration date
04/17/2017
Last updated
05/31/2017
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