Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY CLARK BRODERICK, M.D.
ActiveKELLY CLARK BRODERICK, M.D. is a Diagnostic Radiology healthcare provider located in SAN MATEO, California. NPI 1609821891 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · SAN MATEO, CA
Registration Details
- NPI Number
- 1609821891
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2006 (20.25610941361 yrs)
- Last Updated
- Sep 23, 2020
- Licenses
-
G78759 (CA)G78759 (CA)
Practice Information
- Address
-
100 S SAN MATEO DRSAN MATEO, CA, 944013805Browse CA providers · Browse ZIP 94401
- Phone
- 6506964515
- Fax
- 6506964626
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in SAN MATEO, CA
| Name | Credential | NPI |
|---|---|---|
| HARRIET BETH BOROFSKY | M.D. | 1033162912 |
| DR. SHARON MARIE STEIN | MD | 1952348260 |
| CLAY HUGHES NAPPER | M.D. | 1053352815 |
| KATHLEEN MOIRA MCKENNA | M.D. | 1699711358 |
| DR. AVANTI AMBEKAR | M.D. | 1356447627 |
| NANCY LAI | M.D. | 1932326188 |
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.