DR. KENNETH EGERSTROM MD
NPI 1497739098
Preventive Medicine - Aerospace Medicine in Kirtland Afb, NM

Active since December 06, 2005
2050A 2ND ST SE, KIRTLAND AFB, NM 87117(505) 846-7695 Get Directions Write a Review

NPPES record last updated: July 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Egerstrom Md NPPES

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

DR. KENNETH EGERSTROM MD (NPI 1497739098) is an individual aerospace medicine provider in Kirtland Afb, New Mexico, licensed in Virginia (0101222073) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1497739098
Entity TypeIndividualMale
Primary Taxonomy2083A0100X
Provider Legal NameDR. KENNETH EGERSTROMCredential: MD
Location Address2050A 2ND ST SEKirtland Afb, NM 87117-5522
Mailing Address2050a 2nd St SeKirtland Afb, NM 87117-5522 · (505) 846-7695
Sole ProprietorNo
Enumeration DateDecember 6, 2005
Last NPPES UpdateJuly 27, 2009
NPI 1497739098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPreventive Medicine · Aerospace MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0100X
License Licensed in VA · 0101222073
Definition
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0101222073 (VA)
2050A 2ND ST SE, Kirtland Afb, NM 87117

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.

Psychologist (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Dentist (Prosthodontics)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Social Worker (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Emergency Medicine
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Pediatrics
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Nurse Practitioner (Women's Health)
2050A 2ND ST SE
ALBUQUERQUE, NM 87117
Preventive Medicine (Occupational Medicine)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Occupational Therapist
2050A 2ND ST SE
KIRTLAND AFB, NM 87117

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 Kenneth Egerstrom's NPI number?

The NPI number for Kenneth Egerstrom is 1497739098. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Kenneth Egerstrom located?

Kenneth Egerstrom practices at 2050A 2nd St SE, Kirtland Afb, NM 87117. The listed phone number is (505) 846-7695.

What is Kenneth Egerstrom's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

When was this NPI record last updated?

The NPPES record for Kenneth Egerstrom was last updated on July 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.