Individual
RONALD BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
5966 SCOTTSVILLE RD STE 3, BOWLING GREEN, KY 42104-7908
(270) 904-5104
Mailing address
2623 CHEYENNE DR, BOWLING GREEN, KY 42104-4205
(270) 779-2987
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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