KELLY JEAN BUTLER PA-C NPI 1386916120

NPI Information

NPI: 1386916120
Provider Name: KELLY JEAN BUTLER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
Phone: (214) 456-2768
Get Directions

Kelly Jean Butler, PA-C is a medical physician assistant in Dallas, TX. Kelly Jean Butler, PA-C NPI is 1386916120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235-701
Phone: (214) 456-2768

The enumeration date for this NPI number is 2/8/2012 and was last updated on 7/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant			TEXAS	No
2	363AM0700X	Physician Assistant	Medical	PA07638	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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