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

KIMBERLY BROUSSARD

Active Organization

KIMBERLY BROUSSARD is a Preferred Provider Organization organization located in LAS VEGAS, Nevada. NPI 1477908275 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · LAS VEGAS, NV

Registration Details

NPI Number
1477908275
Provider Type
Organization
NPI Issued
Apr 28, 2016 (10.317717029915 yrs)
Last Updated
Apr 29, 2016

Practice Information

Address
3380 E RUSSELL RD
SUITE 104
LAS VEGAS, NV, 891203402
Browse NV providers · Browse ZIP 89120
Phone
7024760448
Fax
7024760449
Primary Specialty
Preferred Provider Organization
305R00000X

Other Preferred Provider Organization Organizations in LAS VEGAS, NV

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.