Healthcare Provider Details

I. General information

NPI: 1366488496
Provider Name (Legal Business Name): CARINA L BUTLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 MINNESOTA DR STE 800
EDINA MN
55435-7915
US

IV. Provider business mailing address

1218 S BROADWAY STE 310
LEXINGTON KY
40504-2756
US

V. Phone/Fax

Practice location:
  • Phone: 952-595-1100
  • Fax:
Mailing address:
  • Phone: 859-219-0542
  • Fax: 859-219-9433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number36037
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: