Individual provider · Type 1 NPI

Keilyn Broussard

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1477468262 Active

Practice location

450 Piedmont Ave NE Apt 1709
Atlanta, GA 30308-3445

Call (810) 874-5675 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in Atlanta

See all in Atlanta →

About NPI 1477468262

Keilyn Broussard's National Provider Identifier is 1477468262, issued on Aug 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 17, 2026.