Kelly M Broederdorf
REGISTERED NURSE | Nurse Practitioner
3707 Doty Rd Ste Candd, Woodstock
Illinois, 60098-7530
815-338-6600
Kelly M Broederdorf is a Woodstock, Illinois based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Kelly M Broederdorf is 209027210 in Illinois. Her current practice location is 3707 Doty Rd Ste Candd, Woodstock. Patients can reach her at 815-338-6600 or can fax her at 815-206-1086. Kelly M Broederdorf is REGISTERED NURSE with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1952023459.
Kelly M Broederdorf has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelly M Broederdorf speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kelly M Broederdorf |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | REGISTERED NURSE |
| Practice Address: | 3707 Doty Rd Ste Candd, Woodstock,
Illinois, 60098-7530 |
| Phone: | 815-338-6600 |
| Fax: | 815-206-1086 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1952023459 |
| NPI Enumeration Date: | 13 Sep, 2022 |
| NPI Last Update On: | 10 Jun, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly M Broederdorf are as mentioned below.
| License Number | Specialization | State | Status | |
| 209027210 | | Illinois | Primary | |
| 041.387373 | Registered Nurse | Illinois | Secondary | |
| 209-027210 | Family | Illinois | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kelly M Broederdorf
3707 Doty Rd Ste Candd,
Woodstock, Illinois |
| Zip: | 60098-7530 |
| Phone Number: | 815-338-6600 |
| Fax Number: | 815-206-1086 |
Patients can reach Kelly M Broederdorf at
3707 Doty Rd Ste Candd, Woodstock, Illinois or can
call to book an appointment on 815-338-6600.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.