Doctor Name: | KENDRA F BUTNER |
NPI Number: | 1609958891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN BC FNP |
License Number: | 129736 |
Business Practice Address: | 1200 W 22nd St Higginsville, MO - 640371420 |
Business Phone Number: | 6605247751 |
Business Fax Number: | 6605848261 |
Mailing Address: | Po Box 135, HIGGINSVILLE |
State: | MO |
Postal Code: | 640370135 |
Phone Number: | 8162895377 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 129736 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |