Individual
STEPHEN KYLE BUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 S 37TH ST, BETHANY, MO 64424-2770
(660) 425-4430
Mailing address
1209 S 23RD ST, BETHANY, MO 64424-2577
(314) 800-8285
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2018026764
MO
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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