Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN BROECKELMAN
ActiveSUSAN BROECKELMAN is a Registered Dietitian healthcare provider located in MANKATO, Kansas. NPI 1518148071 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · MANKATO, KS
Registration Details
- NPI Number
- 1518148071
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 26, 2007 (18.7335542674 yrs)
- Last Updated
- Nov 26, 2007
- License
-
829 (KS)
Practice Information
- Address
-
100 CRESTVUE AVEMANKATO, KS, 669562407Browse KS providers · Browse ZIP 66956
- Phone
- 7853783137
- Primary Specialty
-
Registered Dietitian
133V00000X
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.