Laura Branham
Specialist/Technologist, Athletic Trainer in Kill Devil Hills, NC. Individual provider (NPI-1).
NPI number1356757454
StatusActive
Last updated in NPPESApr 16, 2018
Details
- NPI
- 1356757454
- Entity type
- Individual (NPI-1)
- Name
- Laura Branham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2014
- Last updated
- Apr 16, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0126002370 | VA | Yes |
Practice location
3102 N Croatan HwyKill Devil Hills, NC 27948-9200
Phone 252-261-9940
Mailing address
4604 Tamarack DrKitty Hawk, NC 27949-5919
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