Kimberly Broyles, RN
Individual provider Active NPI Registered Nurse · Brighton, IL
NPI 1336078427 · NPPES record last updated May 15, 2026
Key facts
- NPI
- 1336078427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041469378 (IL)
- Practice address
- 305 Avalon St
Brighton, IL 62012-1319 - Phone
- (314) 795-4436
- NPI assigned
- May 15, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041469378 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041469378 | IL | Yes |
Addresses
Primary practice location
305 Avalon St
Brighton, IL 62012-1319
Mailing address
305 Avalon St
Brighton, IL 62012-1319
Phone (314) 795-4436
Other providers in Brighton, IL
- Dena L Bachman
- Valerie L Behrends
- Megan Childress
- Nicole R Cummings
- William M Dondanville
- Jada L Elik
- Janice M. Gremaud
All providers in Brighton, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.