Butler, Kirk Alan

Butler, Kirk Alan is an sole proprietor health care provider with primary practice located at 525 N Switzer Canyon Dr , Flagstaff AZ 86011-1483. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Butler, Kirk Alan can be contacted via phone (928) 773-2280.

Contact Information

Primary practice address
525 N Switzer Canyon Dr Flagstaff AZ 86011-1483
Phone: (928) 773-2280
Fax: (928) 773-2281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4832 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60051173 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4832 Arizona

Profile Details

NPI number 1760507065
LBN Legal business name Butler, Kirk Alan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Feb 17th, 2022 - about 2 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 1760507065 NPPES
Arizona MEDICAID 610448

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