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Contact Information

KATHRYN A HEADLEY, CPPM,QPIN
11011 SHERIDAN ST STE 210
HOLLYWOOD, FL33026-1531
 Phone: 954-552-6668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for KATHRYN A HEADLEY · (Female)

NPI # 1609222850
Status Active
Credentials CPPM,QPIN
Entity Individual
Enumeration date 05/06/2016
Last updated 12/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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