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. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 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:
Health care specialties
| Specialty | Code | License # | 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 | Sep 11th, 2025 - about last year |
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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