Butler, Kenneth

Butler, Kenneth is an individual health care provider with primary practice located at 110 S Paca St Sixth Floor, Suite 200, Baltimore MD 21201-1642. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Butler, Kenneth can be contacted via phone (410) 328-8025.

Contact Information

Primary practice address
110 S Paca St Sixth Floor, Suite 200 Baltimore MD 21201-1642
Phone: (410) 328-8025
Fax: (410) 328-8028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X H0046145 Maryland
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X H46145 Maryland

Profile Details

NPI number 1760501043
LBN Legal business name Butler, Kenneth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Sep 22nd, 2010 - about 15 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 1760501043 NPPES
Maryland MEDICAID 122731900
Maryland Other H254

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