Kelly Clark Broderick M.D.
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Overview of Kelly Clark Broderick M.D.
- NPI number: 1598434045
- Provider type: Individual
- Gender: Female
- Active since: 05/24/2006
- Last updated: 09/23/2020
Primary Scrop of Practice
- Taxonomy Code: 2085R0202X
- Specialty: Diagnostic Radiology
- License Number: G78759
- License State: CA
Provider Mailing Address
- Address: Po Box 6102Novato, CA 94948
- Phone: 415-884-3418
- Fax: 415-883-3406
Provider Practice Location
- Address: 100 S San Mateo DrSan Mateo, CA 94401
- Phone: 650-696-4515
- Fax: 650-696-4626
Scope of Practice
- Taxonomy Code: 2085R0202X
- Specialty: Diagnostic Radiology
- License Number: G78759
- License State: CA
- Switch: Yes
Legacy Identifiers
- Provider Identifier: 00G787590
- Identifier Type: Other
- Identifier State: CA
- Issuer: BLUE CROSS
Question & Answers
- Q: What is the npi number?
- A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
- Q: What are health care provider taxonomy codes?
- A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
- Q: What is the npi number for Kelly Clark Broderick M.D.?
- A: The npi number for Kelly Clark Broderick M.D. is 1609821891.
- Q: What are Kelly Clark Broderick M.D.'s specialties?
- A: Kelly Clark Broderick M.D.'s specialties are Diagnostic Radiology and different specialities.
- Q: What is the medical license for Kelly Clark Broderick M.D.?
- A: The medical license number for Kelly Clark Broderick M.D. is G78759 and issued in CA in USA.
- Q: Where is Kelly Clark Broderick M.D. practice location?
- A: Kelly Clark Broderick M.D. is practicing at 100 S San Mateo Dr, San Mateo, CA 94401.
- Q: How to contact Kelly Clark Broderick M.D.?
- A: You can contact Kelly Clark Broderick M.D. via 650-696-4515.