Kelly Broderson's National Provider Identifier (NPI) Details
Kelly Broderson,
NPI: 1467702746
Enumeration Date: 2012-09-14
Last updated: 2019-05-09
Sole Proprietor: YES
Status: active
Postal Address: 245 FOUNTAIN CT STE 316, LEXINGTON, KY
Phone: 859-257-9210
Primary Practice Address: 245 FOUNTAIN CT STE 225, LEXINGTON, KY
Practice's phone: 859-323-6021