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KELSEY GENE BROOME PHYSICIAN ASSISTANT
NPI 1013253228
Physician Assistant - Medical in Eielson Afb, AK

Active since December 14, 2012
2630 CENTRAL AVE, EIELSON AFB, AK 99702(907) 337-6737 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2024, Mar 7, 2024, May 1, 2023 and 2 more (5 updates tracked since 2018).

About Kelsey Gene Broome Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY GENE BROOME PHYSICIAN ASSISTANT (NPI 1013253228) is an individual medical provider in Eielson Afb, Alaska and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1013253228
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELSEY GENE BROOMECredential: PHYSICIAN ASSISTANT
Location Address2630 CENTRAL AVEEielson Afb, AK 99702-2301
Mailing Address2630 Central AveEielson Afb, AK 99702-2301
Phone(907) 337-6737
Sole ProprietorNo
Enumeration DateDecember 14, 2012
Last NPPES UpdateAugust 19, 20245 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1013253228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedMilitary Health Care Provider · Independent Duty Medical TechniciansTaxonomy 1710I1003X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2630 CENTRAL AVE, Eielson Afb, AK 99702
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE ELAINE PETER LISW
Social Worker (Clinical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-3071
NICOLE ANNE SOTO
Nurse Practitioner (Pediatrics)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough No phone listed
MATTHEW GRAY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (931) 220-2210
DR. JEREMY MANTLE WELLS D.D.S.
Dentist
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-6767
CAMVY VICTORIA PHAN DO
Pediatrics
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-6455
GENESIS Y VELASQUEZ
Nurse Practitioner (Family)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-6980
NICHOLE KILINC PA-C
Physician Assistant (Medical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-1847
DR. MATTHEW GRAY CORBIN DDS
Dentist
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-6767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Broome's NPI number?

The NPI number for Kelsey Broome is 1013253228. It was assigned to this individual provider in the NPPES registry on December 14, 2012.

Where is Kelsey Broome located?

Kelsey Broome practices at 2630 Central Ave, Eielson Afb, AK 99702. The listed phone number is (907) 337-6737.

What is Kelsey Broome's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kelsey Broome was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.