Kelly M Broederdorf, REGISTERED NURSE

NPI #1952023459 in Woodstock, Illinois

Provider Information

NPI Number: 1952023459
Entity Type: Individual
Name: Kelly M Broederdorf, REGISTERED NURSE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: REGISTERED NURSE
Enumeration Date: Sep 13, 2022
Last Updated: Jun 10, 2024

Practice Location

Address: 3707 DOTY RD STE CANDD
City: Woodstock
State: Illinois
ZIP Code: 60098-7530
Phone: (815) 338-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - Oncology — Oncology	163WX0200X
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner	363L00000X	Primary

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