Individual provider · Type 1 NPI
Kelly D. Butterfield, RPA
Surgical Physician Assistant · Averill Park, NY
NPI number
1407980360
Active
Practice location
66 Hoffman Rd
Averill Park, NY 12018-4511
Mailing address
PO Box 14890
Albany, NY 12212-4890
Other practice locations
- 315 S Manning Blvd, Albany, NY 12208-1707 · (518) 525-1550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 003827 (NY) |
Surgical Physician Assistant: Definition to come...
About NPI 1407980360
Kelly D. Butterfield, RPA's National Provider Identifier is 1407980360, issued on Mar 15, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Averill Park, NY. The record was last updated on May 11, 2021.