Kevin Broderick
Kevin Broderick is a Student in an Organized Health Care Education/Training Program in Bethesda, Maryland. Practices as a sole proprietor and works from 4 locations. Licensed in District of Columbia, Maryland and Virginia.
- Licensed in
- DC, MD, VA
- In the registry since
- 2012
- Specialties on file
- 5
Practice location Address checks out
Bethesda, MDNo coordinates on file. Search this address in Google Maps
Additional practice locations (3)
- 660 Pennsylvania Ave Se Frnt 2, Washington, DC 20003 — (202) 331-1188
- 5454 Wisconsin Ave Ste 650, Chevy Chase, MD 20815-6956 — (301) 656-8100
- 7501 Greenway Center Dr # 300, Greenbelt, MD 20770-3514 — (301) 474-4679
Specialties & licences
| Retina Specialist (Ophthalmology) Physician (primary) | Taxonomy 207WX0107X · Licence D84883 (MD) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Ophthalmology Physician | Taxonomy 207W00000X · Licence MD045933 (DC) |
| Retina Specialist (Ophthalmology) Physician | Taxonomy 207WX0107X · Licence 0101264466 (VA) |
| Retina Specialist (Ophthalmology) Physician | Taxonomy 207WX0107X · Licence MD45933 (DC) |
Record details
| NPI number | 1639449721 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 5, 2012 |
| Last updated in NPPES | March 21, 2025 |
| Certification date | March 21, 2025 |
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