MRS. JENNIFER DIANE BRODERSON L.M.T.
NPI 1437313046
Specialist in Kailua Kona, HI
- Individual
- Female
- Specialist
About JENNIFER BRODERSON
This page provides the complete NPI Profile along with additional information for Jennifer Broderson, a provider established in Kailua Kona, Hawaii with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1437313046 assigned on July 2008. The practitioner's primary taxonomy code is 174400000X with license number MAT10080 (HI). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1437313046 Verify this NPI
- Provider Name
- MRS. JENNIFER DIANE BRODERSON L.M.T.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 74-5620 PALANI RD SUITE 102 KAILUA KONA, HI 96740
- Location Phone
- (808) 329-7797
- Location Fax
- (808) 329-2748
- Mailing Address
- 74-5620 PALANI RD SUITE 102 KAILUA KONA, HI 96740
- Mailing Phone
- (808) 329-7797
- Mailing Fax
- (808) 329-2748
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-12-2008
- Last Update Date
- 07-12-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MAT10080
- License State
- HI
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
KAILUA KONA, HI 96740
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437313046, enumerated as an "individual" on July 12, 2008.
The provider is located at 74-5620 PALANI RD SUITE 102 KAILUA KONA, HI 96740 and the phone number is (808) 329-7797.
Specialist with taxonomy code 174400000X.
