Individual
MR. REZKALLA BUTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
148 SKYVIEW DRIVE, MT. STERLING, KY 40351-1300
(859) 499-0717
(859) 499-0926
Mailing address
148 SKYVIEW DRIVE, MT. STERLING, KY 40351-1300
(859) 499-0717
(859) 499-0926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34280
KY
207RN0300X
Nephrology Physician
34280
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31-001050
—
KY
05
—
64015977
—
KY
05
—
65938888
—
KY
Enumeration date
07/19/2006
Last updated
03/24/2010
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