Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH EGERSTROM, MD
ActiveDR. KENNETH EGERSTROM, MD is a 2083A0100X healthcare provider located in KIRTLAND AFB, New Mexico. NPI 1497739098 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · KIRTLAND AFB, NM
Registration Details
- NPI Number
- 1497739098
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2005 (20.646118197162 yrs)
- Last Updated
- Jul 27, 2009
- Licenses
-
0101222073 (VA)0101222073 (VA)
Practice Information
- Address
-
2050A 2ND ST SEKIRTLAND AFB, NM, 871175522Browse NM providers · Browse ZIP 87117
- Phone
- 5058467695
- Primary Specialty
-
2083A0100X
2083A0100X
- Additional Specialty
- 2083A0100X
Other 2083A0100X Providers in KIRTLAND AFB, NM
| Name | Credential | NPI |
|---|---|---|
| DR. BRANDON CLINT | MD | 1144214677 |
| DR. DANIEL J HOHMAN | DO, MPH | 1952373672 |
| DR. PAUL A. YOUNG | M.D MPH | 1134192917 |
| DR. THOMAS F CLARKE | MD, MPH | 1093781981 |
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.