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Individual

DR. LEON EVERETT BUTLER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16605 CHESTNUT GLEN PL, LOUISVILLE, KY 40245-6121
(502) 709-0430
(502) 272-5116
Mailing address
16605 CHESTNUT GLEN PL, LOUISVILLE, KY 40245-6121
(502) 709-0430
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01068145A
IN
207R00000X
Internal Medicine Physician
Primary
42017
KY
207R00000X
Internal Medicine Physician
4301038306
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100070770
KY
Enumeration date
10/16/2006
Last updated
03/13/2024
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