Individual
BREONNA MCKEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 W BROADWAY UNIT 604, LOUISVILLE, KY 40202-2170
(502) 542-8411
Mailing address
305 W BROADWAY UNIT 604, LOUISVILLE, KY 40202-2170
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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