Individual
MR. BRODERICK ALLEN SHEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C-NP
Contact information
Practice address
311 E SPRUCE ST, GARDEN CITY, KS 67846-5614
(620) 275-3030
(620) 275-3025
Mailing address
401 E SPRUCE ST, GARDEN CITY, KS 67846-5672
(620) 272-2222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHR.0006904
CO
363LF0000X
Family Nurse Practitioner
53-80285-061
KS
363LF0000X
Family Nurse Practitioner
Primary
80285
KS
Other
Enumeration date
10/09/2012
Last updated
08/04/2021
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