Individual
CRAIG D BUTLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 MEDICAL CIRCLE, MOREHEAD, KY 40351-1179
(606) 783-6500
Mailing address
222 MEDICAL CIRCLE, MOREHEAD, KY 40351-1179
(606) 783-6500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35797
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341155
BC/BS INDIVIDUAL PIN NO
KY
05
—
64082407
—
KY
01
—
P00139356
RAILROAD MEDICARE
KY
Enumeration date
07/22/2005
Last updated
03/18/2016
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