Individual
KEITH BRATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 CALABASH CT, SALISBURY, MD 21804-2432
(410) 924-0446
Mailing address
408 CALABASH CT, SALISBURY, MD 21804-2432
(410) 924-0446
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN-0011358
DE
133V00000X
Registered Dietitian
Primary
DX5966
MD
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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