Broussard, Kendra
Broussard, Kendra is an individual health care provider with primary practice located at 50 N Medical Dr Nicu, Salt Lake City UT 84132-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Broussard, Kendra can be contacted via phone (801) 581-2113.Contact Information
Primary practice address
50 N Medical Dr Nicu
Salt Lake City UT 84132-0001
Phone: (801) 581-2113
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | RN198466 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 8834868-4405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | RN198466 | Georgia |
Profile Details
| NPI number | 1346616604 |
|---|---|
| LBN Legal business name | Broussard, Kendra |
| Credentials | NNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2015 |
| Last updated | Aug 4th, 2022 - about 4 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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