Butler, Keiondria Renee

Butler, Keiondria Renee is an individual health care provider with primary practice located at 109 N Fairland St , Pryor OK 74361-4205. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Butler, Keiondria Renee can be contacted via phone (918) 273-1841.

Contact Information

Primary practice address
109 N Fairland St Pryor OK 74361-4205
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1235858549
LBN Legal business name Butler, Keiondria Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2022
Last updated Aug 22nd, 2022 - 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.

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