Organization · Type 2 NPI
Kimberly Broussard
Preferred Provider Organization · Las Vegas, NV
NPI number
1477908275
Active
Practice location
3380 E Russell Rd, Suite 104
Las Vegas, NV 89120-3402
Fax (702) 476-0449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | None listed |
| Preferred Provider Organization Primary | 305R00000X | None listed |
Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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About NPI 1477908275
Kimberly Broussard's National Provider Identifier is 1477908275, issued on Apr 28, 2016. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 29, 2016.