Dr Kenneth Egerstrom, MD - Preventive Medicine in Kirtland Afb, NM

Dr Kenneth Egerstrom, MD is a Preventive Medicine - Aerospace Medicine physician based in Kirtland Afb, New Mexico. Dr Kenneth Egerstrom is licensed to practice in Virginia (license number 0101222073) and his current practice location is 2050a 2nd St Se, Kirtland Afb, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 846-7695.

NPI number for Dr Kenneth Egerstrom is 1497739098 and his current mailing address is 2050a 2nd St Se, Kirtland Afb, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497739098.

Contact Information

Dr Kenneth Egerstrom, MD
2050a 2nd St Se,
Kirtland Afb, NM 87117-5522
(505) 846-7695
Not Available

Map and Direction




Physician's Profile

Full NameDr Kenneth Egerstrom
GenderMale
SpecialityPreventive Medicine - Aerospace Medicine
Location2050a 2nd St Se, Kirtland Afb, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1497739098
  • Provider Enumeration Date: 12/06/2005
  • Last Update Date: 07/27/2009

Medical Identifiers

Medical identifiers for Dr Kenneth Egerstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497739098NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101222073 (Virginia)Secondary
2083A0100XPreventive Medicine - Aerospace Medicine 0101222073 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Egerstrom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth Egerstrom, MD
2050a 2nd St Se,
Kirtland Afb, NM 87117-5522

Ph: (505) 846-7695
Dr Kenneth Egerstrom, MD
2050a 2nd St Se,
Kirtland Afb, NM 87117-5522

Ph: (505) 846-7695

Reviews and Comments


Preventive Medicine Doctors in Kirtland Afb, NM

Dr. Thomas F Clarke, MD, MPH
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 377th Medical Group 2050a, Kirtland Afb, NM 87117
Phone: 202-699-2496    
Dr. Mary Ann Terese Orzech, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117
Phone: 505-846-2520    Fax: 505-846-2428
Dr. Paul A. Young, M.D MPH
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2050a Second Street Se, Kirtland Afb, NM 87117
Phone: 505-853-2034    
Dr. James S. Ice, D.O
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2050 A Second St Se, Kirtland Afb, NM 87117
Phone: 505-846-3547    
Dr. Thomas O'neal Moore, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 377 Mdg, 2050a Second St Se, Kirtland Afb, NM 87117
Phone: 505-846-1186    
Dr. Zachary Hemann, M.D
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117
Phone: 505-846-3200    
Dr. Thomas D. Fadell Luna, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2050 A Second St., Se, 377 Mdg/sgp, Kirtland Afb, NM 87117
Phone: 505-846-2504    Fax: 505-846-2428

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