Butler, Kathleen Victoria
Butler, Kathleen Victoria is an individual health care provider with primary practice located at 205 E University Ave Suite 200, Georgetown TX 78626-6821. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Butler, Kathleen Victoria can be contacted via phone (512) 868-1124.Contact Information
Primary practice address
205 E University Ave Suite 200
Georgetown TX 78626-6821
Phone: (512) 868-1124
Fax: (512) 868-9894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L1537 | Texas |
Profile Details
| NPI number | 1962490870 |
|---|---|
| LBN Legal business name | Butler, Kathleen Victoria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Feb 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962490870 | NPPES |
| Texas | MEDICAID | 143093605 | |
| Texas | Other | 119934 | |
| Texas | Other | 8X1635 |
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