Individual
EMILY KATHRYN BUTTKUS
Active
Individual
EMILY KATHRYN BUTTKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA0000005515
TN
363AS0400X
Surgical Physician Assistant
Primary
PA5515
TN
Other
Enumeration date
05/04/2023
Last updated
09/08/2023
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