Individual
KATHLEEN L.S. BROADMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-6892
(541) 706-6869
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 706-5922
(541) 706-6869
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD151194
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500622958
—
OR
Enumeration date
08/16/2006
Last updated
01/02/2024
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