Organization
KELLY ANN BUTLER FAMILY NURSE PRACTITIONER,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANN BUTLER FNP (FAMILY NURSE PRACTITIONER)
(607) 432-7900
Entity
Organization
Contact information
Practice address
438 MAIN ST, ONEONTA, NY 13820-2058
(607) 432-7900
(607) 432-7903
Mailing address
438 MAIN ST, ONEONTA, NY 13820-2058
(607) 432-7900
(607) 432-7903
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
332310
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02848135
—
NY
Enumeration date
06/21/2007
Last updated
10/11/2007
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