Kellroy Gordon
Kellroy Gordon is a Chore Provider in Palm Bay, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2019
- Specialties on file
- 6
Practice location Address checks out
530 Malabar Rd SW Apt 202Palm Bay, FL 32907-2992
Phone: (321) 614-5082
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Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X · Licence 195341 (FL) |
|---|---|
| Chore Provider | Taxonomy 372500000X |
| Technician | Taxonomy 374700000X |
| Personal Care Attendant | Taxonomy 3747P1801X |
| Homemaker | Taxonomy 376J00000X |
| Nurse's Aide | Taxonomy 376K00000X |
Record details
| NPI number | 1184180093 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 15, 2019 |
| Last updated in NPPES | February 15, 2019 |
| Mailing address | 530 Malabar Rd Sw Apt 202, Palm Bay, FL 32907-2992 |
Other providers in Palm Bay
-
MS. Lucinda Kathryn Earls, CNA
737 Tarr Ave SW, Palm Bay, FL 32908-7496 · (321) 917-6055
-
Jessica Noel
182 Emerson Dr NW, Palm Bay, FL 32907-7859 · (786) 201-9820