1609821891 Kelly Clark Broderick, M.D.

Diagnostic Radiology Physician

Active

Basic Information

Full Name
Kelly Clark Broderick, M.D.
Gender
Female
Enumeration Date
May 24, 2006
Last Update
September 23, 2020

Practice Location

Address
100 S SAN MATEO DR
SAN MATEO, CA 944013805
Phone
(650) 696-4515
Fax
(650) 696-4626

Mailing Address

Address
PO BOX 6102
NOVATO, CA 949486102
Phone
(415) 884-3418
Fax
(415) 883-3406

Specialties & Taxonomies

Specialty Code Classification License State Primary
Diagnostic Ultrasound Physician
Diagnostic Ultrasound
 2085U0001X Radiology G78759 CA No
Diagnostic Radiology Physician
Diagnostic Radiology
 2085R0202X Radiology G78759 CA Primary

Other Identifiers

Identifier Type State Issuer
00G787590 05 CA N/A
300121792 01 CA RAILROAD MEDICARE
00G787590 01 CA BLUE CROSS
300121755 01 CA RAILROAD MEDICARE

Additional Practice Locations

1501 Trousdale Dr
Burlingame, CA 940104506

Phone: (650) 696-5515

Fax: (650) 696-5280

222 W 39th Ave
San Mateo, CA 944034364

Phone: (650) 573-2222

Fax: (650) 573-2122

Frequently Asked Questions

What is Kelly Clark Broderick, M.D.'s NPI number?
Kelly Clark Broderick, M.D.'s NPI number is 1609821891.
Which doctor has NPI number 1609821891?
The doctor with NPI number 1609821891 is Kelly Clark Broderick, M.D..
What is Kelly Clark Broderick, M.D.'s practice address?
Kelly Clark Broderick, M.D.'s practice address is 100 S SAN MATEO DR, SAN MATEO, CA, 944013805.
Which doctor practices at 100 S SAN MATEO DR, SAN MATEO, CA, 944013805?
Kelly Clark Broderick, M.D. practices at 100 S SAN MATEO DR, SAN MATEO, CA, 944013805.
What is Kelly Clark Broderick, M.D.'s mailing address?
Kelly Clark Broderick, M.D.'s mailing address is PO BOX 6102, NOVATO, CA, 949486102.
What is Kelly Clark Broderick, M.D.'s phone number?
Kelly Clark Broderick, M.D.'s phone number is (650) 696-4515.
Who is (650) 696-4515?
(650) 696-4515 is the phone number for Kelly Clark Broderick, M.D..
What is Kelly Clark Broderick, M.D.'s specialty?
Kelly Clark Broderick, M.D.'s specialty is Diagnostic Radiology Physician.
What type of doctor is Kelly Clark Broderick, M.D.?
Kelly Clark Broderick, M.D. is a Diagnostic Radiology Physician.
Is Kelly Clark Broderick, M.D. a Diagnostic Radiology?
Yes, Kelly Clark Broderick, M.D. is a Diagnostic Radiology.
Is Kelly Clark Broderick, M.D. still practicing?
Yes, Kelly Clark Broderick, M.D. is currently practicing.
Is Kelly Clark Broderick, M.D. accepting new patients?
Kelly Clark Broderick, M.D. may be accepting new patients. Please call their office at (650) 696-4515 to inquire about availability.
Is NPI 1609821891 still active?
Yes, NPI 1609821891 is currently active.
Where does Kelly Clark Broderick, M.D. practice?
Kelly Clark Broderick, M.D. practices in SAN MATEO, CA.
Is Kelly Clark Broderick, M.D. a male or female doctor?
Kelly Clark Broderick, M.D. is a female doctor.