Provider Demographics
NPI:1336399948
Name:DR. BUTLER & ASSOCIATES, PLLC
Entity type:Organization
Organization Name:DR. BUTLER & ASSOCIATES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:W
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-443-2900
Mailing Address - Street 1:PO BOX 7626
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-7626
Mailing Address - Country:US
Mailing Address - Phone:270-443-2900
Mailing Address - Fax:270-443-7122
Practice Address - Street 1:2603 KENTUCKY AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-3814
Practice Address - Country:US
Practice Address - Phone:270-443-2900
Practice Address - Fax:270-443-7122
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. BUTLER & ASSOCIATES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty