Individual
MR. KEITH ALLEN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2410 23RD ST W APT 105, WILLISTON, ND 58801-2628
(701) 580-4037
Mailing address
301 2ND ST E APT 307, WILLISTON, ND 58801-6135
(708) 541-8736
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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