Broughton-Floyd, Kenyetta N.

Broughton-Floyd, Kenyetta N. is an sole proprietor health care provider with primary practice located at 201 Lester Rd , Park Forest IL 60466-2013. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / School is her primary health care specialty. Broughton-Floyd, Kenyetta N. can be contacted via phone (312) 238-9128.

Contact Information

Primary practice address
201 Lester Rd Park Forest IL 60466-2013
Phone: (312) 238-9128
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X KB52980401P Illinois

Profile Details

NPI number 1104030139
LBN Legal business name Broughton-Floyd, Kenyetta N.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 17 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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