Organization
GIM OF KENTUCKY PLLC
Active
Other names
GIM of Kentucky PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
LEON EVERETT BUTLER MD (OWNER)
(502) 435-1739
Entity
Organization
Contact information
Practice address
16605 CHESTNUT GLEN PL, LOUISVILLE, KY 40245-6121
(502) 709-0430
(502) 245-6651
Mailing address
16605 CHESTNUT GLEN PL, LOUISVILLE, KY 40245-6121
(502) 709-0430
(502) 245-6651
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100374220
—
KY
05
—
7100374230
—
KY
Enumeration date
11/04/2015
Last updated
07/08/2024
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