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NPI Code Detail

MEDICARE: KENE R BRATCHER

MEDICARE: KENE R BRATCHER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoulaMO

General Provider Information

NPI Number : 1174487607
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENE R BRATCHER
Provider Business Mailing Address
First Line : 4528 ADELAIDE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63115-3031
Country : US
Telephone Number : 314-601-4549
Fax Number :
Provider Business Practice Location Address
First Line : 4528 ADELAIDE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63115-3031
Country : US
Telephone Number : 314-601-4549
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ KENE R BRATCHER ” Practice Location

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