Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Egerstrom, MD

Individual provider Family Medicine Physician · NPI 1497739098

Dr. Kenneth Egerstrom, MD is a Family Medicine Physician in Kirtland AFB, New Mexico. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2050A 2nd St SE
Kirtland AFB, NM 87117-5522
Phone: (505) 846-7695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Aerospace Medicine Physician (primary) Taxonomy 2083A0100X · Licence 0101222073 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101222073 (VA)

Record details

NPI number1497739098
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 6, 2005
Last updated in NPPESJuly 27, 2009
Mailing address2050a 2nd St Se, Kirtland Afb, NM 87117-5522

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