Kenneth K Broderick
NPI #1992217202 in Colville, Washington
Provider Information
- NPI Number
- 1992217202
- Entity Type
- Individual
- Name
- Kenneth K Broderick
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health
- Enumeration Date
- Oct 26, 2017
- Last Updated
- Oct 26, 2017
Practice Location
- Address
- 982 E COLUMBIA AVE STE 201
- City
- Colville
- State
- Washington
- ZIP Code
- 99114-3316
- Phone
- (509) 685-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
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