Dr. Kathleen L Broad, MD
Psychiatry & Neurology, Psychiatry in West Haven, Connecticut
1013368240- Practice location
- 950 Campbell Ave, Room 151D, West Haven, CT 06516-2770
- Phone
- 203-932-5711
- Fax
- —
- Last updated
- June 29, 2016
Kathleen Louise Broad is a Psychiatry & Neurology, Psychiatry based in West Haven, CT. Kathleen Louise Broad practices in West Haven, CT and has the professional credentials of MD. The NPI Number for Kathleen Louise Broad is 1013368240 and holds a License No. 055144 (CT). The current practice location address for Kathleen Louise Broad is 950 Campbell Ave, Room 151D, West Haven, CT 06516-2770 and can be reached out via phone at 203-932-5711.
Provider Profile Details
- NPI Number
- 1013368240
- Provider Name
- Kathleen Louise Broad
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 950 Campbell Ave, Room 151D, West Haven, CT 06516-2770
- Phone Number
- 203-932-5711
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 29, 2016
- Last Update Date
- June 29, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 950 Campbell Ave
Room 151D
West Haven, CT 06516-2770 - City
- West Haven
- State
- Connecticut
- Zip
- 06516-2770
- Phone Number
- 203-932-5711
Provider Business Mailing Address Details
- Address
- 950 Campbell Ave
Room 151D
West Haven, CT 06516-2770 - City
- West Haven
- State
- CT
- Zip
- 06516-2770
- Phone Number
- 203-932-5711
License Information
- License Number
- 055144
- License State
- CT
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Kathleen L Broad, MD?
The NPI number of Dr. Kathleen L Broad, MD is 1013368240. It was assigned on June 29, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Kathleen L Broad, MD?
Dr. Kathleen L Broad, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 055144.
Where does Dr. Kathleen L Broad, MD practice?
The practice location is 950 Campbell Ave, Room 151D, West Haven, CT 06516-2770. The office can be reached at 203-932-5711 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013368240 directly on the NPPES registry website.