NPI 1013597236
Breanna Marie Koetter, MD
Practice location
- Address
- 171 Ashley Ave, Charleston, SC 29425-0100
- Phone
- (843) 792-1414
- Mailing address
- 498 Albemarle Rd Unit 103, Charleston, SC 29407-7570
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1013597236
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Apr 2021
- Record last updated
- 1 Apr 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.