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Individual
MS. KELLEY ALEXIS BUTLER
Active
Individual
MS. KELLEY ALEXIS BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A192097
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A192097
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2021
Last updated
07/30/2025
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