Broadway, Kimberly

Broadway, Kimberly is an individual health care provider with primary practice located at 401 Young Ave Ste 180 Front , Moorestown NJ 08057-3139. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Broadway, Kimberly can be contacted via phone (856) 291-8600.

Contact Information

Primary practice address
401 Young Ave Ste 180 Front Moorestown NJ 08057-3139
Phone: (856) 291-8600
Fax: (856) 291-8610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00497600 New Jersey

Profile Details

NPI number 1669880225
LBN Legal business name Broadway, Kimberly
Credentials MSN, APN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2014
Last updated Dec 13th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669880225 NPPES
New Jersey MEDICAID 0434191

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