Kenneth Edstrom, MD
NPI 1649373663 · Obstetrics & Gynecology Physician · Puyallup, WA
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Edstrom, MD is a Obstetrics & Gynecology Physician provider in Puyallup, WA (NPI 1649373663).
Provider details
- NPI number
- 1649373663
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00026074 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2012-06-15
Frequently asked questions
- What is Kenneth Edstrom's NPI number?
- Kenneth Edstrom's National Provider Identifier (NPI) is 1649373663, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Edstrom's specialty?
- Kenneth Edstrom is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Edstrom located?
- Kenneth Edstrom's practice location on file with NPPES is 1701 3rd St Se, Puyallup, WA 98372-4511.
- What is Kenneth Edstrom's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Edstrom is (253) 840-4444.
- Does Kenneth Edstrom accept Medicare?
- Kenneth Edstrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Edstrom's NPI active?
- Yes — Kenneth Edstrom's NPI (1649373663) is active in the NPPES registry as of the last update on 2012-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.