MEDICARE: RHONDA K BUTTLEMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	KY27333	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4310112	OTHER	KY	AETNA
2	1200530	OTHER	KY	UNITEDHEALTHCARE
3	000000077310	OTHER	KY	ANTHEM BCBS ID
4	2518348006	OTHER	KY	CIGNA HEALTHCARE

General Provider Information

NPI Number	:	1235132283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA K BUTTLEMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 950293
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40295-0293
Country	:	US
Telephone Number	:	888-987-1785
Fax Number	:	405-609-1491

Provider Business Practice Location Address
First Line	:	6425 BARDSTOWN RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-3040
Country	:	US
Telephone Number	:	502-762-0498
Fax Number	:	502-762-0469

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	10/02/2016

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