Organization
DR. BUTLER & ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI W. BUTLER (OFFICE MANAGER)
(270) 443-2900
Entity
Organization
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 303, PADUCAH, KY 42003-3814
(270) 443-2900
(270) 443-7122
Mailing address
PO BOX 7626, PADUCAH, KY 42002-7626
(270) 443-2900
(270) 443-7122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29692
KY
363A00000X
Physician Assistant
PA443
KY
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
2980P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65942161
—
KY
05
—
78904794
—
KY
Enumeration date
03/12/2007
Last updated
11/25/2014
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