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Contact Information

KIERON J BRODERICK, RN, ACNP
1208 E CROSS ST
CENTERVILLE, IA52544-3501
 Phone: 816-477-7200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIERON J BRODERICK · (Male)

NPI # 1174879282
Status Active
Credentials RN, ACNP
Entity Individual
Enumeration date 07/25/2012
Last updated 02/18/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # L166512
  • MO License # 2012024476
Hospital affiliation(s)
  • ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL - (Critical Access)
    631 N 8TH ST
    MISSOURI VALLEY, IA 51555
  • CASS COUNTY MEMORIAL HOSPITAL - (Critical Access)
    1501 EAST TENTH STREET
    ATLANTIC, IA 50022
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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