Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH R BROADBENT, MD

Active

Pediatrics · SALT LAKE CITY, UT

Registration Details

NPI Number: 1447232285
Provider Type: Individual
Gender: Male
NPI Issued: Nov 17, 2005 (20.428256008224 yrs)
Last Updated: Jul 26, 2013
License: 2677572-1205 (UT)

Practice Information

Address: 1140 E 3900 S

#360

SALT LAKE CITY, UT, 841241228
Browse UT providers · Browse ZIP 84124
Phone: 8012648686
Fax: 8012648962
Primary Specialty: Pediatrics
208000000X

Other Pediatrics Providers in SALT LAKE CITY, UT

Name	Credential	NPI
JUSTIN CHARLES ALVEY	M.D.	1346248465
ROBERT KEITH ROTHFEDER	MD	1750381307
CYNTHIA LEE CARMACK	MD	1548254360
MR. GLEN S FRICK	M.D., PHD	1699760629
DR. MICHELLE A CHAMBERLAIN	MD	1992787741
DR. CLAUDIA J FRUIN	MD	1619959319

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.