Butler, Kelly J.

Butler, Kelly J. is an individual health care provider with primary practice located at 101 Cabarrus Ave E , Concord NC 28025-3699. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Butler, Kelly J. can be contacted via phone (888) 849-7379.

Contact Information

Primary practice address
101 Cabarrus Ave E Concord NC 28025-3699
Phone: (888) 849-7379
Fax: (855) 857-7333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01053711A Indiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 34651 Kentucky

Profile Details

NPI number 1518960681
LBN Legal business name Butler, Kelly J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 3rd, 2023 - 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 1518960681 NPPES
Other 50704000 MAGELLAN MIS GROUP
Other CG3623 MAGELLAN MIS GROUP
Other 000000056294 MAGELLAN MIS GROUP
Other 160780 MAGELLAN MIS GROUP
Other P00289124 MAGELLAN MIS GROUP
Other 100386460 MAGELLAN MIS GROUP
Other 2444451000 MAGELLAN MIS GROUP
MEDICAID 82900176 MAGELLAN MIS GROUP
Other 1063415297 MAGELLAN MIS GROUP
MEDICAID 64029762 MAGELLAN MIS GROUP
MEDICAID 78903689 MAGELLAN MIS GROUP
Other 000000239719 MAGELLAN MIS GROUP
Other 260047968 MAGELLAN MIS GROUP
Other 2709741000 MAGELLAN MIS GROUP
MEDICAID 200319860A MAGELLAN MIS GROUP
Other 2709741000 MAGELLAN MIS GROUP
Other 6764 MAGELLAN MIS GROUP
Other 264003000 MAGELLAN MIS GROUP
MEDICAID 65927857 MAGELLAN MIS GROUP
Other CK2274 MAGELLAN MIS GROUP

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