Kenneth Richard Kannenberg, CRNA - Nurse Anesthetist, Certified Registered in Boise, ID

Kenneth Richard Kannenberg, CRNA is a Nurse Anesthetist, Certified Registered based in Boise, Idaho. Kenneth Richard Kannenberg is licensed to practice in Idaho (license number RNA406) and his current practice location is 1055 N Curtis Rd, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 367-6416.

NPI number for Kenneth Richard Kannenberg is 1174579692 and his current mailing address is Po Box 4268, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174579692.

Contact Information

Kenneth Richard Kannenberg, CRNA
1055 N Curtis Rd,
Boise, ID 83706-1352
(208) 367-6416
Not Available



Provider's Profile

Full NameKenneth Richard Kannenberg
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1055 N Curtis Rd, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174579692
  • Provider Enumeration Date: 05/26/2006
  • Last Update Date: 04/07/2011

Medical Identifiers

Medical identifiers for Kenneth Richard Kannenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174579692NPI-NPPES
805750900MedicaidID
430066232OtherIDRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse N27389 (Idaho)Secondary
367500000XNurse Anesthetist, Certified Registered RNA406 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Richard Kannenberg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Richard Kannenberg, CRNA
Po Box 4268,
Portland, OR 97208-4268

Ph: (503) 372-2740
Kenneth Richard Kannenberg, CRNA
1055 N Curtis Rd,
Boise, ID 83706-1352

Ph: (208) 367-6416

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› Verified 7 days ago


Nurse Anesthetist, Certified Registered Nurses in Boise, ID

Mr. Douglas Neurath,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 111 W State St, Boise, ID 83702
Phone: 208-336-0895    
Jordan B Wolff, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 111 W State St, Boise, ID 83702
Phone: 208-336-0895    Fax: 208-338-1796
Nathan S Call, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2222    
Ashton Mieritz, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-2121    
Kenneth Clark Stratton Jr., CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-2559    
Diana San Juan Shimko, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-6416    
David Hansen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 338 E Bannock St, Boise, ID 83712
Phone: 208-336-0895    

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