Broaddus, Charlene Sue

Broaddus, Charlene Sue is an individual health care provider with primary practice located at Gill Heart Institute 800 Rose St G100, Lexington KY 40536-0093. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Broaddus, Charlene Sue can be contacted via phone (859) 323-0295.

Contact Information

Primary practice address
Gill Heart Institute 800 Rose St G100 Lexington KY 40536-0093
Phone: (859) 323-0295
Fax: (859) 257-8699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4695P Kentucky

Profile Details

NPI number 1780765735
LBN Legal business name Broaddus, Charlene Sue
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 20th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780765735 NPPES
Kentucky MEDICAID 7801709200

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