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Katelyn Braswell

Technician, Other in Kodiak, AK. Individual provider (NPI-1).

NPI number1124416151
StatusActive
Last updated in NPPESDec 29, 2014

Details

NPI
1124416151
Entity type
Individual (NPI-1)
Name
Katelyn Braswell
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 29, 2014
Last updated
Dec 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

Base Kodiak Bldg N46
Kodiak, AK 99619

Phone 907-487-5757

Mailing address

Base Kodiak Bldg N46
Kodiak, AK 99619

Phone 907-487-5757

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