Broderick, Taylor Kellen

Broderick, Taylor Kellen is an individual health care provider with primary practice located at 1002 Montpelier Dr , Greensboro NC 27410-4422. He recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as his primary health care specialty. Broderick, Taylor Kellen can be contacted via phone (325) 260-8059.

Contact Information

Primary practice address
1002 Montpelier Dr Greensboro NC 27410-4422
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 362205 North Carolina

Profile Details

NPI number 1023850872
LBN Legal business name Broderick, Taylor Kellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2024
Last updated Jun 12th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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