Individual
DR. KATHLEEN G. BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8926 WOODYARD RD, SUITE 301, CLINTON, MD 20735-4220
(301) 856-3670
(301) 868-0129
Mailing address
7801 OLD BRANCH AVE, SUITE 300, CLINTON, MD 20735-1608
(301) 856-6718
(301) 856-6722
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101236437
VA
174400000X
Specialist
Primary
D29846
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100122465
—
VA
Enumeration date
01/19/2006
Last updated
11/29/2007
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