Individual
KIMBERLY BUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3135 W BROADWAY, COUNCIL BLUFFS, IA 51501-3359
(712) 328-9100
(712) 328-0095
Mailing address
3135 W BROADWAY, COUNCIL BLUFFS, IA 51501-3359
(712) 328-9100
(712) 328-0095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30519
NE
207Q00000X
Family Medicine Physician
Primary
MD-48114
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026480100
—
NE
05
—
1093196008
—
IA
05
—
470553011-00
—
NE
05
—
47068731734
—
NE
05
—
47068731741
—
NE
05
—
47068731749
—
NE
05
—
47068731797
—
NE
Enumeration date
06/16/2015
Last updated
09/23/2025
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