JAIMIE N BROADBENT PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1619793841- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1201 PLEASANT VALLEY RD, OWENSBORO, KY, 423039811
- Phone
- (270) 417-5911
- Fax
- (270) 417-6497
Specialties & Taxonomies
Physician Assistant
Primary License: KY #PA3630
Physician Assistant
License: KY #TC003