Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH JEROME BOOMGAARD, M.D.
ActiveDR. KENNETH JEROME BOOMGAARD, M.D. is a Family Medicine healthcare provider located in ELMENDORF AFB, Alaska. NPI 1427047034 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ELMENDORF AFB, AK
Registration Details
- NPI Number
- 1427047034
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2005 (20.841386289711 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4301071073 (MI)
Practice Information
- Address
-
3RD MEDICAL GROUP, ELMENDORF REGIONAL MEDICAL CENTER5955 ZEAMER AVEELMENDORF AFB, AK, 995063700Browse AK providers · Browse ZIP 99506
- Phone
- 9075802956
- Fax
- 9075802308
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.