THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
05/02/25 07:55:34 AM

General Information

Former Name: No Former Name
Medical School: Dalhousie University Faculty of Medicine, 2011
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 35 Metcalf Street
Oxford ACT Team
St. Joseph's Health Care London
Lower Level Unit 103
Woodstock Ontario N4S 7X1
Business Email: No Information Available
Phone: 5195390180
Extension: 76535
Fax: No Information Available
Address: 35 Metcalf Street
Oxford ACT Team
St. Joseph's Health Care London
Lower Level Unit 103
Woodstock Ontario N4S 0A4
Phone: 5195390180
Extension: 76535
Fax: 5195390076

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Psychiatry
Effective: 30 Jun 2016
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Psychiatry
ISSUED ON: Effective: Jun 30 2016
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
Canada - Nunavut

Hospital Privileges

HOSPITAL LOCATION
St Joseph's Health Care, London London
Alexandra Marine and General Hospital Goderich
Grand River Hospital Corporation Kitchener
Stratford General Hospital Stratford
HOSPITAL: St Joseph's Health Care, London
LOCATION: London
HOSPITAL: Alexandra Marine and General Hospital
LOCATION: Goderich
HOSPITAL: Grand River Hospital Corporation
LOCATION: Kitchener
HOSPITAL: Stratford General Hospital
LOCATION: Stratford

Professional Corporation Information

Corporation Name: Broad Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 19 Jul 2017
Shareholders:
Dr. K. Broad (CPSO#: 95458 )
Business Address: Stratford General Hospital
Special Services Unit
Room 209
90 John Street South
Stratford Ontario N5A 6K7 (519) 272-8210 Extn: 2205
Business Address: NPOP - CAMH 250 College Street
Toronto Ontario M5T 1R8 (519) 535-8501

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: Dalhousie University Faculty of Medicine, 2011

Practice Information

Primary Business Location: 35 Metcalf Street
Oxford ACT Team
St. Joseph's Health Care London
Lower Level Unit 103
Woodstock Ontario N4S 7X1
Business Email: No Information Available
Phone: 5195390180
Extension: 76535
Fax: No Information Available
Address: 35 Metcalf Street
Oxford ACT Team
St. Joseph's Health Care London
Lower Level Unit 103
Woodstock Ontario N4S 0A4
Phone: 5195390180
Extension: 76535
Fax: 5195390076

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Psychiatry
Effective: 30 Jun 2016
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Psychiatry
ISSUED ON: Effective: Jun 30 2016
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Licences In Other Jurisdictions

Effective September 1, 2015, the College by-laws require the College to indicate on the register if the member has a licence or is registered to practise medicine in a jurisdiction outside Ontario, if this is known to the College.
Canada - Nunavut

Hospital Privileges

HOSPITAL LOCATION
St Joseph's Health Care, London London
Alexandra Marine and General Hospital Goderich
Grand River Hospital Corporation Kitchener
Stratford General Hospital Stratford
HOSPITAL: St Joseph's Health Care, London
LOCATION: London
HOSPITAL: Alexandra Marine and General Hospital
LOCATION: Goderich
HOSPITAL: Grand River Hospital Corporation
LOCATION: Kitchener
HOSPITAL: Stratford General Hospital
LOCATION: Stratford

Professional Corporation Information

Corporation Name: Broad Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 19 Jul 2017
Shareholders:
Dr. K. Broad (CPSO#: 95458 )
Business Address: Stratford General Hospital
Special Services Unit
Room 209
90 John Street South
Stratford Ontario N5A 6K7 (519) 272-8210 Extn: 2205
Business Address: NPOP - CAMH 250 College Street
Toronto Ontario M5T 1R8 (519) 535-8501

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. KATHLEEN LOUISE BROAD may practise only in the areas of medicine in which Dr. BROAD is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. KATHLEEN LOUISE BROAD may practise only in the areas of medicine in which Dr. BROAD is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Dalhousie University Faculty of Medicine, 2011

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 03 May 2017
Expired: Terms and conditions of certificate of registration Effective: 30 Jun 2016
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2011
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 03 May 2017
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 30 Jun 2016
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2011