Individual provider · Type 1 NPI

Allison Kay Porter Broderick, PA

Surgical Physician Assistant · Raleigh, NC

NPI number 1922318567 Active

Practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Call (919) 350-8000 Map

Mailing address

2920 Highwoods Blvd
Raleigh, NC 27604-0010

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X0010-06288 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1922318567

Allison Kay Porter Broderick, PA's National Provider Identifier is 1922318567, issued on Oct 18, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Raleigh, NC. The record was last updated on Mar 29, 2023.