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NPI Verification

National Provider Identifier: 1427047034

Kenneth Jerome Boomgaard, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

21950 SHELTERING SPRUCE LOOP

CHUGIAK, AK 995675402

Phone: 907-688-7826

NPI Enumeration Date

October 17, 2005

NPI Number

1427047034

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry