Charles Broadway
Charles Broadway is a Community Health Worker in Kennett, Missouri. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
1109 Jones StKennett, MO 63857-3824
Phone: (573) 888-6545
Fax: (573) 888-2369
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1932331907 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 10, 2009 |
| Last updated in NPPES | August 10, 2009 |
| Mailing address | 1109 Jones St, Kennett, MO 63857-3824 |
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Kimberly Lynette Burns
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900 State Route Vv, Kennett, MO 63857-3834 · (573) 559-2365
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Miss. Kayla Michele Davis
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Terri Ellis, PSRTECH
925 Highway V V, Kennett, MO 63857-0071 · (573) 888-0642