Broberg, Kent Taylor

Broberg, Kent Taylor is an individual health care provider with primary practice located at 57950 Leavenworth St , Mcconnell Afb KS 67221-3506. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Broberg, Kent Taylor can be contacted via phone (316) 759-5050.

Contact Information

Primary practice address
57950 Leavenworth St Mcconnell Afb KS 67221-3506
Phone: (316) 759-5050
Fax: (316) 759-6030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X FB0800361 Nebraska

Profile Details

NPI number 1326130089
LBN Legal business name Broberg, Kent Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated May 26th, 2010 - about 16 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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