| Doctor Name: | DR. KATHLEEN G. BUTLER |
| NPI Number: | 1013997634 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 0101236437 |
| Business Practice Address: | 8926 Woodyard Rd Suite 301 Clinton, MD - 207354220 |
| Business Phone Number: | 3018563670 |
| Business Fax Number: | 3018680129 |
| Mailing Address: | 7801 Old Branch Ave, Suite 300 CLINTON |
| State: | MD |
| Postal Code: | 207351608 |
| Phone Number: | 3018566718 |
| Fax Number: | 3018566722 |
| NPI Enumeration Date: | 01/19/2006 |
| NPI Last Update Date: | 11/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 0101236437 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |