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Individual

KENDRA F BUTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN BC FNP

Contact information

Practice address
1200 W 22ND ST, HIGGINSVILLE, MO 64037-1420
(660) 524-7751
(660) 584-8261
Mailing address
1200 W 22ND ST, HIGGINSVILLE, MO 64037
(660) 584-7751

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
129736
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
425882008
MO
Enumeration date
10/19/2006
Last updated
05/24/2017
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