MRS. JENNIFER DIANE BRODERSON L.M.T.
NPI 1437313046
Specialist in Kailua Kona, HI

Q: What is Jennifer Broderson's NPI number?

The NPI number for Jennifer Broderson is 1437313046. It was assigned to this individual provider in the NPPES registry on July 12, 2008.

Q: What is Jennifer Broderson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since July 12, 2008

74-5620 PALANI RD, SUITE 102, KAILUA KONA, HI 96740(808) 329-7797(808) 329-2748 Get Directions Write a Review

NPPES record last updated: July 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Jennifer Diane Broderson L.m.t. NPPES

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

MRS. JENNIFER DIANE BRODERSON L.M.T. (NPI 1437313046) is an individual specialist in Kailua Kona, Hawaii, licensed in Hawaii (MAT10080) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1437313046

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. JENNIFER DIANE BRODERSONCredential: L.M.T.

Location Address74-5620 PALANI RD, SUITE 102Kailua Kona, HI 96740-3640

Mailing Address74-5620 Palani Rd, Suite 102Kailua Kona, HI 96740-3640 · (808) 329-7797 · Fax (808) 329-2748

Phone(808) 329-7797

Fax(808) 329-2748

Sole ProprietorYes

Enumeration DateJuly 12, 2008

✔ NPI 1437313046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in HI · MAT10080

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

74-5620 PALANI RD, Kailua Kona, HI 96740

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Other Providers at the Same Location NPPES 8

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

ARMAND J. WOHL M.D.

Internal Medicine (Cardiovascular Disease)

74-5620 PALANI RD, SUITE 100
KAILUA KONA, HI 96740

Hawaii County (808) 331-8860

DR. SHANNON MARIE BRODERSON D.C.

Chiropractor

74-5620 PALANI RD, SUITE 102
KAILUA KONA, HI 96740

Hawaii County (808) 329-7797

WALTER J WANG MD

Family Medicine

74-5620 PALANI RD, SUITE 100
KAILUA-KONA, HI 96740

Hawaii County (808) 331-8860

AMY EMILY KNIGHTS

Behavior Technician

74-5620 PALANI RD
KAILUA KONA, HI 96740

Hawaii County (808) 731-9006

HEALTHY PREFERRED INC

Emergency Medicine

74-5620 PALANI RD, STE 212
KAILUA KONA, HI 96740

Hawaii County (888) 406-8555

BENJAMMIN TOTTEN

Behavior Technician

74-5620 PALANI RD
KAILUA KONA, HI 96740

Hawaii County (808) 331-2273

DR. PHILIP DAVID MIRANDA D.C.

Chiropractor

74-5620 PALANI RD, STE. 102
KAILUA KONA, HI 96740

Hawaii County (808) 331-1205

MIRANDA CHIROPRACTIC

Chiropractor

74-5620 PALANI RD, STE.102
KAILUA KONA, HI 96740

Hawaii County (808) 331-1205

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 Jennifer Broderson's NPI number?

The NPI number for Jennifer Broderson is 1437313046. It was assigned to this individual provider in the NPPES registry on July 12, 2008.

Where is Jennifer Broderson located?

Jennifer Broderson practices at 74-5620 Palani Rd Suite 102, Kailua Kona, HI 96740. The listed phone number is (808) 329-7797.

What is Jennifer Broderson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Broderson was last updated on July 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.