Individual
JAMEEL BUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-4520
(606) 573-6392
Mailing address
37 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-4520
(606) 573-6392
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33271
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64332711
—
KY
Enumeration date
08/22/2005
Last updated
07/25/2011
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