| Doctor Name: | MRS. KIMBERLY ELAINE BUTLER |
| NPI Number: | 1174809743 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 629358 |
| Business Practice Address: | 19222 County Road 4108 Lindale, TX - 757716170 |
| Business Phone Number: | 9035206243 |
| Business Fax Number: | 9038823964 |
| Mailing Address: | 19222 County Road 4108, LINDALE |
| State: | TX |
| Postal Code: | 757716170 |
| Phone Number: | 9035206243 |
| Fax Number: | 9038823964 |
| NPI Enumeration Date: | 10/27/2011 |
| NPI Last Update Date: | 10/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 629358 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |