Individual
KIMBERLY CHERYL BUTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN GNP
Contact information
Practice address
313 E 12TH ST, SUITE 101, AUSTIN, TX 78701-1954
(512) 324-9660
(512) 324-9651
Mailing address
313 E 12TH ST, SUITE 101, AUSTIN, TX 78701-1954
(512) 324-9660
(512) 324-9651
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
724673
TX
Other
Enumeration date
09/07/2007
Last updated
05/15/2008
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