Broderick, Kieron James

Broderick, Kieron James is an sole proprietor health care provider with primary practice located at 1208 E Cross St , Centerville IA 52544-3501. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Broderick, Kieron James can be contacted via phone (816) 477-7200.

Contact Information

Primary practice address
1208 E Cross St Centerville IA 52544-3501
Phone: (816) 477-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2012024476 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X L166512 Iowa

Profile Details

NPI number 1174879282
LBN Legal business name Broderick, Kieron James
Credentials RN, ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2012
Last updated Feb 18th, 2022 - 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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