Individual
KELLY BROADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
123 W 18TH ST, 8TH FLOOR, NEW YORK, NY 10011-4127
(612) 460-8791
Mailing address
2220 QUEBEC AVE S, ST LOUIS PARK, MN 55426-2509
(612) 460-8791
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000753
CA
Other
Enumeration date
05/07/2016
Last updated
05/07/2016
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