Bracken, Katie Lee

Bracken, Katie Lee is an individual health care provider with primary practice located at 550 Harbor Cove Ln Apt. 4400L, Charleston SC 29412-3009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Bracken, Katie Lee can be contacted via phone (513) 379-3166.

Contact Information

Primary practice address
550 Harbor Cove Ln Apt. 4400L Charleston SC 29412-3009
Phone: (513) 379-3166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 1819 South Carolina

Profile Details

NPI number 1922476480
LBN Legal business name Bracken, Katie Lee
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2015
Last updated Sep 14th, 2015 - about 9 years ago

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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