Butler, Kathleen G.

Butler, Kathleen G. is an individual health care provider with primary practice located at 8926 Woodyard Rd Suite 301, Clinton MD 20735-4220. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Butler, Kathleen G. can be contacted via phone (301) 856-3670.

Contact Information

Primary practice address
8926 Woodyard Rd Suite 301 Clinton MD 20735-4220
Fax: (301) 868-0129
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D29846 Maryland
Other Service Providers / Specialist 174400000X 0101236437 Virginia

Profile Details

NPI number 1013997634
LBN Legal business name Butler, Kathleen G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 29th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013997634 NPPES
Virginia MEDICAID 0100122465

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