Kevin Stanley Broaddrick DPM

  • NPI 1639188394
According to our database, the NPI number for Kevin Stanley Broaddrick DPM is 1639188394 and activated since 17 years ago. Kevin Stanley Broaddrick DPM is an individual provider who specializes in Podiatrist, and the primary practice location is 14780 W. Mountain View Blvd., Surprise, AZ 85374. You can also contact Kevin Stanley Broaddrick DPM via telephone number is (623) 374-7774. Provider NPI information was last updated on 07/17/2015.

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Overview of Kevin Stanley Broaddrick DPM

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/05/2006
  • Last updated: 07/17/2015

Primary Scrop of Practice

  • Taxonomy Code: 213E00000X
  • Specialty: Podiatrist
  • License Number: 657
  • License State: WI

Provider Mailing Address

  • Address: 7373 E. Us Highway 60, #378
    Gold Canyon, AZ 85118
  • Phone: 414-702-0954
  • Fax:

Provider Practice Location

  • Address: 14780 W. Mountain View Blvd.
    Suite 110
    Surprise, AZ 85374
  • Phone: 623-374-7774
  • Fax:

Scope of Practice

  • Taxonomy Code: 213E00000X
  • Specialty: Podiatrist
  • License Number: 657
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 43218700
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WI
  • Issuer:

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 Kevin Stanley Broaddrick DPM?
  • A: The npi number for Kevin Stanley Broaddrick DPM is 1639188394.
  • Q: What are Kevin Stanley Broaddrick DPM's specialties?
  • A: Kevin Stanley Broaddrick DPM's specialties are Podiatrist and different specialities.
  • Q: What is the medical license for Kevin Stanley Broaddrick DPM?
  • A: The medical license number for Kevin Stanley Broaddrick DPM is 657 and issued in WI in USA.
  • Q: Where is Kevin Stanley Broaddrick DPM practice location?
  • A: Kevin Stanley Broaddrick DPM is practicing at 14780 W. Mountain View Blvd., Surprise, AZ 85374.
  • Q: How to contact Kevin Stanley Broaddrick DPM?
  • A: You can contact Kevin Stanley Broaddrick DPM via 623-374-7774.