Butts, Kimberly Lyles

Butts, Kimberly Lyles is an sole proprietor health care provider with primary practice located at 545 Estudillo Ave , San Leandro CA 94577-4611. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Butts, Kimberly Lyles can be contacted via phone (510) 352-9200.

Contact Information

Primary practice address
545 Estudillo Ave San Leandro CA 94577-4611
Phone: (510) 352-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X MPSS-MKHLRT California
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1073099552
LBN Legal business name Butts, Kimberly Lyles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2018
Last updated Feb 7th, 2025 - about last year

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 1073099552 NPPES
California Other B9627718 CALIFORNIA ID

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