Broeker, Kathleen Kelley
Broeker, Kathleen Kelley is an sole proprietor health care provider with primary practice located at 100 E Kentucky Ave Unit J-3, Deland FL 32724-2375. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Broeker, Kathleen Kelley can be contacted via phone (407) 721-5130.Contact Information
Primary practice address
100 E Kentucky Ave Unit J-3
Deland FL 32724-2375
Phone: (407) 721-5130
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1962698977 |
|---|---|
| LBN Legal business name | Broeker, Kathleen Kelley |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2007 |
| Last updated | Sep 24th, 2007 - about 18 years ago |
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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