Individual
DR. KEITH BUTVILAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2115
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2115
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036100436
IL
207P00000X
Emergency Medicine Physician
Primary
2019033217
MO
207P00000X
Emergency Medicine Physician
3697
IA
207P00000X
Emergency Medicine Physician
DO-03697
IA
207P00000X
Emergency Medicine Physician
OP60128085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0571745
—
IL
01
—
1427021559
BLUE SHIELD
IA
05
—
1427021559
—
IA
05
—
1427021559
—
MT
05
—
1427021559
—
WA
05
—
1571745
—
IL
01
—
362739299-001
TRICARE/HEALTH NET
—
01
—
99320
BCWELLMARK 7TH
—
01
—
99321
BCWELLMARK WEST
—
01
—
IL0181
JOHN DEERE
—
Enumeration date
02/09/2006
Last updated
01/19/2026
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