Kent Taylor Broberg in Mcconnell Afb - Student In An Organized Health Care Education/training Program
Kent Taylor Broberg - NPI 1326130089
Kent Taylor Broberg is a Student In An Organized Health Care Education/training Program in Mcconnell Afb, Kansas. Kent Taylor Broberg practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Kent Taylor Broberg is 1326130089. The last update date is 2010-05-26.
Kent Taylor Broberg's current location address is 57950 Leavenworth St, Mcconnell Afb, Kansas. You can contact this provider via phone number 3167595050 and fax number 3167596030. The mailing address for Kent Taylor Broberg is 57950 Leavenworth St, Mcconnell Afb, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kent Taylor Broberg |
|---|---|
| Address | 57950 Leavenworth St, Mcconnell Afb, Kansas |
| Phone Number | 3167595050 |
| Fax Number | 3167596030 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1326130089 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2010-05-26 |
Provider Mailing Address Detail
| Address | 57950 Leavenworth St |
|---|---|
| City | Mcconnell Afb |
| State | Kansas (KS) |
| Post Code | 672213506 |
| Phone Number | 3167595050 |
| Fax Number | 3167596030 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
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Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kent Taylor Broberg by the Centers for Medicare & Medicaid Services?
The Kent Taylor Broberg has been assigned the NPI (National Provider Identifier) 1326130089 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kent Taylor Broberg's facilities are situated?
The facilities of Kent Taylor Broberg are physically located at the following address: 57950 Leavenworth St, Mcconnell Afb, KS, 672213506.
What is Kent Taylor Broberg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kent Taylor Broberg's area of specialization is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this field of practice is 390200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1326130089 to Kent Taylor Broberg?
The Kent Taylor Broberg received its 1326130089 assignment from the Centers for Medicare & Medicaid Services on 2006-09-29.
As of what date was the information pertaining to Kent Taylor Broberg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kent Taylor Broberg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-05-26.