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Individual
DR. JOHN E BROADBENT
Active
Individual
DR. JOHN E BROADBENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29485
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215823
BLUE CROSS BLUE SHIELD
KY
01
—
2500783
UNITED HEALTH
KY
01
—
5196668
AETNA
KY
05
—
64294853
—
KY
Enumeration date
10/12/2005
Last updated
08/02/2023
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