Individual provider · Type 1 NPI

Katelyn Denise Butler

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1104407972 Active

Practice location

1265 Union Ave
Memphis, TN 38104-3415

Mailing address

5022 E Old Farm Rd
Memphis, TN 38125-3710

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104407972

Katelyn Denise Butler's National Provider Identifier is 1104407972, issued on Apr 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Apr 14, 2021.