KENNETH JEROME BOOMGAARD

ELMENDORF AFB, AK
NPI1427047034
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301071073)
Enumeration Date2005-10-17
Last Update Date2007-07-08
Business Address
Dr. KENNETH JEROME BOOMGAARD M.D.
3RD MEDICAL GROUP, ELMENDORF REGIONAL MEDICAL CENTER 5955 ZEAMER AVE
ELMENDORF AFB, AK 99506-3700
Phone number: 907-580-2956
Mailing Address
Dr. KENNETH JEROME BOOMGAARD M.D.
21950 SHELTERING SPRUCE LOOP
CHUGIAK, AK 99567-5402
Phone number: 907-688-7826