Individual
DR. KEVIN WAYNE BRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4510 EXECUTIVE DRIVE, SUITE 200, SAN DIEGO, CA 92121
(858) 453-7224
(858) 453-7268
Mailing address
4510 EXECUTIVE DRIVE, SUITE 200, SAN DIEGO, CA 92121
(858) 453-7224
(858) 453-7268
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A82409
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A824090
—
CA
Enumeration date
05/09/2006
Last updated
09/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us