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Kimberly Ann Broadnax
Student in an Organized Health Care Education/Training Program in Johnstown, Ohio
NPI 1144883349

Kimberly Ann Broadnax is a Student in an Organized Health Care Education/Training Program based in Johnstown, OH. Kimberly Ann Broadnax practices in Johnstown, OH. The NPI Number for Kimberly Ann Broadnax is 1144883349 and holds a License No. (Ohio).

The current practice location address for Kimberly Ann Broadnax is 408 Cottontail Ct, Johnstown, OH and can be reached out via phone at 614-401-7700.

Location: 408 Cottontail Ct, Johnstown, OH, 43031-7551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144883349
Provider Name
Kimberly Ann Broadnax
Credential
Provider Entity Type
Individual
Gender
Female
Address
408 Cottontail Ct, Johnstown, OH, 43031-7551
Phone Number
614-401-7700
Fax Number
Provider Enumeration Date
04/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
408 Cottontail Ct
City
Johnstown
State
Ohio
Zip
43031-7551
Phone Number
614-401-7700
Fax Number
person
Provider Business Mailing Address Details
Address
408 Cottontail Ct
City
Johnstown
State
Ohio
Zip
43031-7551
Phone Number
614-401-7700
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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