Individual
KYNLEA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2022 CARDINAL CIR, ANDERSON, SC 29621-1504
(864) 224-7577
(864) 225-5165
Mailing address
320 FALLS ST UNIT 404, GREENVILLE, SC 29601-3554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4397
SC
363A00000X
Physician Assistant
—
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2019
Last updated
10/19/2022
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