Katie Lee Bracken, ATC Valid NPI
Individual provider · Sports Medicine (Emergency Medicine) Physician · Charleston, SC
- NPI
- 1922476480
- Type
- Individual (Type 1)
- Primary specialty
- Sports Medicine (Emergency Medicine) Physician (Emergency Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207PS0010X
- License number
- 1819 (SC)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-09-14
- Last updated
- 2015-09-14
Practice location
550 Harbor Cove Ln, Apt. 4400l
Charleston, SC 29412-3009
(513) 379-3166