KENNETH K BRODERICK

COLVILLE, WA
NPI1992217202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: WA  RN60039364)
Enumeration Date2017-10-26
Last Update Date2017-10-26
Business Address
KENNETH K BRODERICK
982 E COLUMBIA AVE STE 201
COLVILLE, WA 99114-3316
Phone number: 509-685-5000
Mailing Address
KENNETH K BRODERICK
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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