Individual
KIMBERLY SUE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1569 SW NANCY WAY STE 2, BEND, OR 97702-3234
(541) 382-1395
(541) 382-6576
Mailing address
PO BOX 5264, BEND, OR 97708-5264
(541) 382-1395
(541) 382-6576
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201507448NPPP
OR
Other
Enumeration date
10/15/2015
Last updated
02/10/2025
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