Individual
KATHLEEN VICTORIA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
Mailing address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L1537
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119934
SUPERIOR
TX
05
—
143093605
—
TX
01
—
8X1635
BLUE CROSS
TX
Enumeration date
10/13/2005
Last updated
06/27/2025
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