Individual
DR. KIESHA MARIE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
OH
174400000X
Specialist
Primary
ESTI.200515
OH
174H00000X
Health Educator
—
—
247200000X
Other Technician
ESTI.200515
OH
261Q00000X
Clinic/Center
ESTS.200111
OH
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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