Broussard, Kendra
Broussard, Kendra is an individual health care provider with primary practice located at 101 Court St Ste 8 , Plymouth MA 02360-8718. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Broussard, Kendra can be contacted via phone (508) 732-7327.Contact Information
Primary practice address
101 Court St Ste 8
Plymouth MA 02360-8718
Phone: (508) 732-7327
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 2292034 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 2292034 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 2292034 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2292034 | Massachusetts |
Profile Details
| NPI number | 1730558313 |
|---|---|
| LBN Legal business name | Broussard, Kendra |
| Credentials | WHNP, AGPCNP, RN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2015 |
| Last updated | Oct 1st, 2018 - about 8 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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