Lookup NPI Numbers from the NPI Registry
NPI Profile for KELSEY G BROOME in EIELSON AFB, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Independent Duty Medical Technicians |
1710I1003X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1013253228 |
|
| Status | Active | |
| Credentials | PHYSICIAN ASSISTANT | |
| Entity | Individual | |
| Enumeration date | 12/14/2012 | |
| Last updated | 08/19/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KELSEY G BROOME
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KELSEY G BROOME, PHYSICIAN ASSISTANT