Individual provider · Type 1 NPI

Kelly Clark Broderick, MD

Diagnostic Radiology Physician · San Mateo, CA

NPI number 1609821891 Active

Practice location

100 S San Mateo Dr
San Mateo, CA 94401-3805

Call (650) 696-4515 Map

Fax (650) 696-4626

Mailing address

PO Box 6102
Novato, CA 94948-6102

Other practice locations

  • 222 W 39th Ave, San Mateo, CA 94403-4364 · (650) 573-2222
  • 1501 Trousdale Dr, Burlingame, CA 94010-4506 · (650) 696-5515

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Ultrasound Physician 2085U0001XG78759 (CA)
Diagnostic Radiology Physician Primary 2085R0202XG78759 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1609821891

Kelly Clark Broderick, MD's National Provider Identifier is 1609821891, issued on May 24, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Mateo, CA. The record was last updated on Sep 23, 2020.