Individual
DR. JACOB KEVIN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
12219 E CENTRAL AVE, WICHITA, KS 67206-2808
(316) 681-1099
(316) 613-2417
Mailing address
12219 E CENTRAL AVE, WICHITA, KS 67206-2808
(316) 681-1099
(316) 613-2417
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
61309
KS
Other
Enumeration date
07/11/2013
Last updated
11/16/2022
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