Butler, Kathy Diane
Butler, Kathy Diane is an individual health care provider with primary practice located at 111 Front St , Henderson TN 38340-2313. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Butler, Kathy Diane can be contacted via phone (731) 989-2829.Contact Information
Primary practice address
111 Front St
Henderson TN 38340-2313
Phone: (731) 989-2829
Fax: (731) 520-0230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 42136 | Tennessee |
Profile Details
| NPI number | 1376710624 |
|---|---|
| LBN Legal business name | Butler, Kathy Diane |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2008 |
| Last updated | Jul 9th, 2021 - about 5 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 | 1376710624 | NPPES |
| Tennessee | MEDICAID | 3345749 |
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