IndividualActive
Kenneth Egerstrom, MD
NPI 1497739098 · Aerospace Medicine Physician · Kirtland Afb, NM
Provider details
- NPI number
- 1497739098
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101222073 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2050a 2nd St Se
Kirtland Afb, NM 87117-5522
Phone: (505) 846-7695
Approximate (ZIP-level) locationGet directions
Mailing address
2050a 2nd St Se
Kirtland Afb, NM 87117-5522
Registry dates
- Enumerated
- 2005-12-06
- Last updated
- 2009-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.