Butkovich, Kathryn Jane

Butkovich, Kathryn Jane is an individual health care provider with primary practice located at 1821 S Webster Ave , Green Bay WI 54301. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Butkovich, Kathryn Jane can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
1821 S Webster Ave Green Bay WI 54301
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 193019-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 6620 Wisconsin

Profile Details

NPI number 1740665389
LBN Legal business name Butkovich, Kathryn Jane
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2015
Last updated Aug 29th, 2019 - about 7 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 1740665389 NPPES
Wisconsin MEDICAID 1740665389

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