Individual
SAMUEL KENT BUTTARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4686 N ALAMEDA CREEK AVE, MERIDIAN, ID 83646-2017
(208) 283-4929
Mailing address
4686 N ALAMEDA CREEK AVE, MERIDIAN, ID 83646-2017
(208) 283-4929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7271586
ID
Other
Enumeration date
10/30/2025
Last updated
04/06/2026
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