Broaddrick, Kevin Stanley
Broaddrick, Kevin Stanley is an sole proprietor health care provider with primary practice located at 6739 W Cactus Rd , Peoria AZ 85381-5311. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Broaddrick, Kevin Stanley can be contacted via phone (833) 242-0100.Contact Information
Primary practice address
6739 W Cactus Rd
Peoria AZ 85381-5311
Phone: (833) 242-0100
Fax: (602) 805-4745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD-000814 | Arizona |
Profile Details
| NPI number | 1639188394 |
|---|---|
| LBN Legal business name | Broaddrick, Kevin Stanley |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Aug 11th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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