Kenneth Francis Glifort, M.D., M.P.H.

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

028310 Issued in CT

Practice address

4141 Ambassador Dr Ste 300
Anchorage, AK 99508-5928

Phone

(907) 729-3686

Fax

(907) 729-3689

NPI assigned

Jul 12, 2006

Last updated

Mar 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1235164807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 AMBASSADOR DR STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085928",
            "telephone_number": "907-729-3686",
            "fax_number": "907-729-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 AMBASSADOR DR STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085928",
            "telephone_number": "907-729-3686",
            "fax_number": "907-729-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIFORT",
        "first_name": "KENNETH",
        "middle_name": "FRANCIS",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "CT",
            "license": "028310",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CT",
            "license": "028310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aerospace Medicine Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Aerospace Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.