Individual
DR. BRANDI PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
47 SARAHS LN, SOMERSET, KY 42503
(606) 679-5437
Mailing address
47 SARAHS LN, SOMERSET, KY 42503
(606) 679-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8103
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60003886
—
KY
Enumeration date
01/10/2007
Last updated
07/09/2007
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