KIMBERLY BROUSSARD is a preferred provider organization in Las Vegas, NV. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. KIMBERLY BROUSSARD NPI is 1477908275. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Phenomenal Angels.
The provider's business location address is:
3380 E RUSSELL RD
SUITE 104
LAS VEGAS, NV
ZIP 89120-402
Phone: (702) 476-0448
Fax: (702) 476-0449
The provider's authorized official is Kimberly Rashone Broussard .
The authorized official title is Owner / Operator and has the following contact phone number (702) 807-1718.
The enumeration date for this NPI number is 4/28/2016 and was last updated on 4/29/2016.