Kristy M Bratcher, RD
Individual provider Active NPI Registered Dietitian · Leitchfield, KY
NPI 1811061534 · NPPES record last updated Jul 17, 2007
Key facts
- NPI
- 1811061534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 967628 (KY)
- Practice address
- 910 Wallace Ave
Leitchfield, KY 42754-2414 - Phone
- (270) 259-6400
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 967628 | KY | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 967628 | KY | Yes |
Addresses
Primary practice location
910 Wallace Ave
Leitchfield, KY 42754-2414
Mailing address
216 S Cannon Dr
Leitchfield, KY 42754-1422
Phone (270) 589-0349
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000522604 | Other | KY | ANTHEM |
Other providers in Leitchfield, KY
- Daniel Steven Bloemer
- Bluegrass Family Healthcare, PLLC
- Bluegrass Family Healthcare, PLLC
- Kristin Nicole Board
- Amy Nicole Boswell
- Merri Beth Bratcher
- April Braun
- Eric C Brown
- James L Browning
- Nancye Anne Browning
All providers in Leitchfield, KY · Registered Dietitian in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.