KELSEY GENE BROOME PHYSICIAN ASSISTANT NPI 1013253228

NPI Information

  • NPI: 1013253228
  • Provider Name: KELSEY GENE BROOME, PHYSICIAN ASSISTANT
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 2630 CENTRAL AVE
    EIELSON AFB, AK
    ZIP 99702
  • Phone: (907) 337-6737

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NPI Details

Kelsey Gene Broome, PHYSICIAN ASSISTANT is a medical physician assistant in Eielson Afb, AK. Kelsey Gene Broome, PHYSICIAN ASSISTANT NPI is 1013253228. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2630 CENTRAL AVE
EIELSON AFB, AK
ZIP 99702-301
Phone: (907) 337-6737

The enumeration date for this NPI number is 12/14/2012 and was last updated on 8/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11710I1003XMilitary Health Care ProviderIndependent Duty Medical TechniciansNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3363AM0700XPhysician AssistantMedicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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