DR. Kenneth Jerome Boomgaard, M.D.
NPI #1427047034 in Elmendorf Afb, Alaska
Provider Information
- NPI Number
- 1427047034
- Entity Type
- Individual
- Name
- DR. Kenneth Jerome Boomgaard, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Oct 17, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3RD MEDICAL GROUP, ELMENDORF REGIONAL MEDICAL CENTER
- Address 2
- 5955 ZEAMER AVE
- City
- Elmendorf Afb
- State
- Alaska
- ZIP Code
- 99506-3700
- Phone
- (907) 580-2956
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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