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Individual

KESHON I BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPSS-IVBSK0

Contact information

Practice address
1223 S LOVERS LANE, TULARE, CA 93274-0877
(559) 931-1001
Mailing address
1223 S LOVERS LN, VISALIA, CA 93292-5249
(559) 882-7354
(559) 882-7354

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CMPSS-IVBSK0
CA
175T00000X
Peer Specialist
Primary
CA

Other

Enumeration date
02/06/2026
Last updated
02/09/2026
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