Individual
KATELYN DENISE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-7000
Mailing address
5022 E OLD FARM RD, MEMPHIS, TN 38125-3710
(901) 515-7839
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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