Individual
MR. DANNY NEALE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2603 KENTUCKY AVENUE, SUITE 303, PADUCAH, KY 42003
(270) 443-2900
(270) 443-7122
Mailing address
PO BOX 7626, PADUCAH, KY 42002-7626
(270) 443-2900
(270) 443-7122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29692
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29692
STATE LICENSE #
KY
01
—
340686
ANTHEM INDIVIDUAL
KY
05
—
64296924
—
KY
Enumeration date
10/23/2006
Last updated
10/27/2009
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