Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN WAYNE BRODER, MD
Active Sole ProprietorDR. KEVIN WAYNE BRODER, MD is a Plastic Surgery healthcare provider located in SAN DIEGO, California. NPI 1205885902 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · SAN DIEGO, CA
Registration Details
- NPI Number
- 1205885902
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2006 (20.226095207274 yrs)
- Last Updated
- Sep 5, 2012
- License
-
A82409 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4510 EXECUTIVE DRIVESUITE 200SAN DIEGO, CA, 92121Browse CA providers · Browse ZIP 92121
- Phone
- 8584537224
- Fax
- 8584537268
- Primary Specialty
-
Plastic Surgery
208200000X
Other Plastic Surgery Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. BARRY STUART HANDLER | MD | 1669471892 |
| DR. STEVE LAVERSON | M.D. | 1467443499 |
| DIANA M BREISTER | M.D. | 1629050943 |
| DR. JONATHAN SETH WILENSKY | MD | 1871576470 |
| JESSICA EMELIN | MD | 1497734297 |
| DR. CRAIG J SALT | M.D. | 1215901962 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.