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KIMBERLY ANN BROADNAX
NPI 1144883349
Student in an Organized Health Care Education/Training Program in Johnstown, OH

Active since April 15, 2019
408 COTTONTAIL CT, JOHNSTOWN, OH 43031(614) 401-7700 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2024, Apr 15, 2019 (2 updates tracked since 2019).

About Kimberly Ann Broadnax NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ANN BROADNAX (NPI 1144883349) is an individual student in an organized health care education/training program in Johnstown, Ohio and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1144883349
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY ANN BROADNAX
Location Address408 COTTONTAIL CTJohnstown, OH 43031-7551
Mailing Address408 Cottontail CtJohnstown, OH 43031-7551 · (614) 401-7700
Phone(614) 401-7700
Sole ProprietorYes
Enumeration DateApril 15, 2019
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1144883349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
408 COTTONTAIL CT, Johnstown, OH 43031
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KB CONSULTANTS GROUP
Home Health
408 COTTONTAIL CT
JOHNSTOWN, OH 43031
Licking County (740) 809-1020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Broadnax's NPI number?

The NPI number for Kimberly Broadnax is 1144883349. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Kimberly Broadnax located?

Kimberly Broadnax practices at 408 Cottontail Ct, Johnstown, OH 43031. The listed phone number is (614) 401-7700.

What is Kimberly Broadnax's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kimberly Broadnax was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.