Individual provider · Type 1 NPI

Kathryn Jane Butkovich, CPNP-PC

Pediatric Nurse Practitioner · Green Bay, WI

NPI number 1740665389 Active

Practice location

1821 S Webster Ave
Green Bay, WI 54301

Other practice locations

  • 9000 W Wisconsin Ave, Pediatric Genetics, Milwaukee, WI 53226-4874 · (414) 266-2979
  • 9000 W Wisconsin Ave, Pediatric Genetics, Milwaukee, WI 53226-4874 · (414) 266-2979

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X193019-30 (WI)
Pediatric Nurse Practitioner Primary 363LP0200X6620 (WI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1740665389

Kathryn Jane Butkovich, CPNP-PC's National Provider Identifier is 1740665389, issued on Jul 24, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Green Bay, WI. The record was last updated on Aug 29, 2019.