Individual
KINNETTE NICOLE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HUMBLE AVE STE 171, 120 WILLIS ATREET, HATTIESBURG, MS 39401-6365
(601) 620-4344
Mailing address
301 HUMBLE AVE STE 171, 120 WILLIS ATREET, HATTIESBURG, MS 39401-6365
(601) 620-4344
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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