Individual
LARRY S. BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3213 SUMMIT SQUARE PL, SUITE 200, LEXINGTON, KY 40509-2636
(859) 381-1066
(859) 263-0650
Mailing address
3213 SUMMIT SQUARE PL, SUITE 200, LEXINGTON, KY 40509-2636
(859) 381-1066
(859) 263-0650
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20759
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000290311
ANTHEM
KY
05
—
64207590
—
KY
Enumeration date
06/08/2006
Last updated
03/23/2010
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