Individual
KELSIE ANN BUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1487 E LASALLE DR, BISMARCK, ND 58503-5653
(701) 509-1699
Mailing address
1487 E LASALLE DR, BISMARCK, ND 58503-5653
(701) 509-1699
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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