NPI 1497739098

Kenneth Egerstrom, MD

Practitioner Aerospace Medicine Physician Kirtland Afb, NM

Practice location

Address: 2050a 2nd St SE, Kirtland Afb, NM 87117-5522
Phone: (505) 846-7695

Registered specialties (2)

Aerospace Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence 0101222073 (VA)

Other Preventive Medicine providers in New Mexico →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 0101222073 (VA)

Other Family Medicine providers in New Mexico →

Registry record

NPI: 1497739098
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2005
Record last updated: 27 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.