Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN STANLEY BROADDRICK, DPM
Active Sole ProprietorKEVIN STANLEY BROADDRICK, DPM is a Podiatrist healthcare provider located in PEORIA, Arizona. NPI 1639188394 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · PEORIA, AZ
Registration Details
- NPI Number
- 1639188394
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2006 (19.838231394536 yrs)
- Last Updated
- Aug 11, 2023
- License
-
POD-000814 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6739 W CACTUS RDPEORIA, AZ, 853815311Browse AZ providers · Browse ZIP 85381
- Phone
- 8332420100
- Fax
- 6028054745
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in PEORIA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID M BATES | DPM | 1336135177 |
| J BARTON RIPPERGER | DPM | 1295723864 |
| WAYNE ALLEN MOYER | DPM | 1538148994 |
| DR. DANIEL L BANGART | DPM | 1447220678 |
| TEISHA M KUBALA | DPM | 1770540700 |
| KATHLEEN M STONE | DPM | 1033176631 |
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.