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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760507065 | NPPES |
| Arizona | MEDICAID | 610448 |
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