Kelly Clark Broderick, MD
Kelly Clark Broderick, MD is a Diagnostic Radiology in San Mateo, California. Graduated from Harvard Medical School in 1992, 34 years ago. Practices with California Advanced Imaging Medical Associates Inc, a 82-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 34
- Trained at
- Harvard Medical School
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
100 S San Mateo DrSan Mateo, CA 94401-3805
Phone: (650) 696-4515
Fax: (650) 696-4626
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 1501 Trousdale Dr, Burlingame, CA 94010-4506 — (650) 696-5515
- 222 W 39th Ave, San Mateo, CA 94403-4364 — (650) 573-2222
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence G78759 (CA) |
|---|---|
| Diagnostic Ultrasound Physician | Taxonomy 2085U0001X · Licence G78759 (CA) |
Record details
| NPI number | 1609821891 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 24, 2006 |
| Last updated in NPPES | September 23, 2020 |
| Certification date | September 23, 2020 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | HARVARD MEDICAL SCHOOL |
| Graduated | 1992 (34 years in practice) |
| Group practice | California Advanced Imaging Medical Associates Inc — 82 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |