Individual
MR. KYLE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTC
Contact information
Practice address
300 LONGWOOD AVE # MA1079, BOSTON, MA 02115-5724
(617) 355-7468
Mailing address
300 LONGWOOD AVE # MA1079, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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