Individual
MRS. KIMBERLY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3124 VANCOUVER DR, BATON ROUGE, LA 70819-1851
(225) 610-0586
Mailing address
PO BOX 41401, BATON ROUGE, LA 70835-1401
(225) 610-0586
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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