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Search › Washington › 163WP0808X

Kenneth Broderick

NPI 1992217202 · on the registry since 2017

Practice

Address
982 E Columbia Ave Ste 201
Colville, WA 99114
Phone
(509) 685-5000
Fax
(509) 684-5286
Organisation at this address
Stevens County
Providence Health & Services - Washington
Providence Health & Services - Washington
Providence Health & Services - Washington
Inferred from a shared address, not stated in the registry.
Clinicians at this address
83

Registry record

Primary taxonomy
163WP0808X
163WP0808X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-10-26

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 Washington