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Search › Kentucky › 1041C0700X

Kelly Broderson

NPI 1467702746 · on the registry since 2012 · sole proprietor

Practice

Address
245 Fountain Ct Ste 316
Lexington, KY 40509
Phone
(859) 257-9210
Organisation at this address
Uk Lpp Group
University Of Kentucky
Inferred from a shared address, not stated in the registry.
Clinicians at this address
113

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky