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Individual
KATLYN LEE BUTTENFIELD
Active
Individual
KATLYN LEE BUTTENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN005429
PA
133V00000X
Registered Dietitian
Primary
L005694
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103301379
—
PA
01
—
14015914
CAQH
—
Enumeration date
05/18/2017
Last updated
06/24/2022
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