Broad, Kathleen Louise
Broad, Kathleen Louise is an individual health care provider with primary practice located at 950 Campbell Ave Room 151D, West Haven CT 06516-2770. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Broad, Kathleen Louise can be contacted via phone (203) 932-5711.Contact Information
Primary practice address
950 Campbell Ave Room 151D
West Haven CT 06516-2770
Phone: (203) 932-5711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 055144 | Connecticut |
Profile Details
| NPI number | 1013368240 |
|---|---|
| LBN Legal business name | Broad, Kathleen Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2016 |
| Last updated | Jun 29th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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