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Individual

KRISTY M BRATCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
910 WALLACE AVE, LEITCHFIELD, KY 42754-2414
(270) 259-6400
Mailing address
216 S CANNON DR, LEITCHFIELD, KY 42754-1422
(270) 589-0349

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
967628
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000522604
ANTHEM
KY
Enumeration date
11/17/2006
Last updated
07/17/2007
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