Broderick, Taylor Kellen
Broderick, Taylor Kellen is an individual health care provider with primary practice located at 1002 Montpelier Dr , Greensboro NC 27410-4422. He recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as his primary health care specialty. Broderick, Taylor Kellen can be contacted via phone (325) 260-8059.Contact Information
Primary practice address
1002 Montpelier Dr
Greensboro NC 27410-4422
Phone: (325) 260-8059
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 362205 | North Carolina |
Profile Details
| NPI number | 1023850872 |
|---|---|
| LBN Legal business name | Broderick, Taylor Kellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2024 |
| Last updated | Jun 12th, 2024 - about 2 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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