KENYETTA N. BROUGHTON-FLOYD NPI 1104030139

NPI Information

NPI: 1104030139
Provider Name: KENYETTA N. BROUGHTON-FLOYD
Classification: Counselor - 101YS0200X
Entity Type: Individual

Specialization: School

Address:
201 LESTER RD
PARK FOREST, IL
ZIP 60466
Phone: (312) 238-9128
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Kenyetta N. Broughton-floyd is a school counselor in Park Forest, IL. Kenyetta N. Broughton-floyd NPI is 1104030139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 LESTER RD
PARK FOREST, IL
ZIP 60466-013
Phone: (312) 238-9128

The enumeration date for this NPI number is 5/9/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YS0200X	Counselor	School			Yes
2	222Q00000X	Developmental Therapist		KB52980401P	ILLINOIS	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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