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
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 193019-30 (WI) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 6620 (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.