Individual provider · Type 1 NPI

Kinnette Nicole Butler

Home Health Agency · Hattiesburg, MS

NPI number 1023830379 Active

Practice location

301 Humble Ave Ste 171, 120 Willis Atreet
Hattiesburg, MS 39401-6365

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000XNone listed
Home Health Aide 374U00000XNone listed
Home Health Agency Primary 251E00000XNone listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1023830379

Kinnette Nicole Butler's National Provider Identifier is 1023830379, issued on Oct 28, 2024. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Oct 28, 2024.