Individual
KENYETTA N. BROUGHTON-FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LESTER RD, PARK FOREST, IL 60466-2013
(312) 238-9128
Mailing address
PO BOX 992, PARK FOREST, IL 60466-0992
(312) 238-9128
(708) 434-0811
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
222Q00000X
Developmental Therapist
Primary
KB52980401P
IL
Other
Enumeration date
05/09/2007
Last updated
09/11/2025
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