Individual
MRS. KATHLEEN ANNE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
75 RIVERSIDE AVE, SUITE 3, MEDFORD, MA 02155-4600
(781) 396-6221
(781) 395-7716
Mailing address
282 SUTTON AVE, OXFORD, MA 01540-1824
(781) 396-6221
(781) 395-7716
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1062
MA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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