Broyld, Kelley

Broyld, Kelley is an sole proprietor health care provider with primary practice located at 155 Palisades Dr , Dallas GA 30157-0927. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Broyld, Kelley can be contacted via phone (404) 579-8307.

Contact Information

Primary practice address
155 Palisades Dr Dallas GA 30157-0927
Phone: (404) 579-8307
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT003284 Georgia

Profile Details

NPI number 1902962624
LBN Legal business name Broyld, Kelley
Credentials B.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Apr 13th, 2012 - about 12 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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