MEDICARE: KELLY BUTLER BSN, RN

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1346189370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY BUTLER BSN, RN

Provider Business Mailing Address
First Line	:	103 WOODLAND AVE
Second Line	:
City	:	GARDNER
State	:	MA
Zip	:	01440-1623
Country	:	US
Telephone Number	:	860-552-9881
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 WOODLAND AVE
Second Line	:
City	:	GARDNER
State	:	MA
Zip	:	01440-1623
Country	:	US
Telephone Number	:	860-552-9881
Fax Number	:

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

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

Similar Medicare Providers

1356400436 — MRS. CINDI L FULLER MSW
Practice Location Address:

1623 W GARDNER AVE
SPOKANE, WA
99201-1830

Practice Phone: 509-328-6274
Practice Fax: 509-326-2341

1023568896 — SPOKANE CONSULTANTS IN FAMILY LIVING
Practice Location Address:

1623 W GARDNER AVE
SPOKANE, WA
99201-1830

Practice Phone: 509-328-6274
Practice Fax: 509-326-2341

1265363899 — JULIA CARPENTER
Practice Location Address:

205 SCHOOL ST
GARDNER, MA
01440-2781

Practice Phone: 978-472-2440
Practice Fax:

1184762254 — MS. DEBORAH B STONE PMHNP
Practice Location Address:

60 PEARSON BLVD
GARDNER, MA
01440-3910

Practice Phone: 978-924-4410
Practice Fax:

1548306798 — MR. CHRISTOPHER PSAROPULOS LMHC
Practice Location Address:

55 LAKE ST
GARDNER, MA
01440-3876

Practice Phone: 508-849-5648
Practice Fax:

1124958921 — FELIX ANTWI
Practice Location Address:

205 SCHOOL ST
GARDNER, MA
01440-2781

Practice Phone: 978-472-2440
Practice Fax:

Directions to “ KELLY BUTLER BSN, RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.