Gordon, Kellroy

Gordon, Kellroy is an sole proprietor health care provider with primary practice located at 530 Malabar Rd Sw Apt 202 , Palm Bay FL 32907-2992. He recently has 6 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Technician, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Adult Companion is his primary health care specialty. Gordon, Kellroy can be contacted via phone (321) 614-5082.

Contact Information

Primary practice address
530 Malabar Rd Sw Apt 202 Palm Bay FL 32907-2992
Phone: (321) 614-5082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Technician 374700000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X
Nursing Service Related Providers / Adult Companion 372600000X 195341 Florida

Profile Details

NPI number 1184180093
LBN Legal business name Gordon, Kellroy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2019
Last updated Feb 15th, 2019 - about 5 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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