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NPI Code Detail

MEDICARE: CRAIG D BUTLER II MD

MEDICARE: CRAIG D BUTLER II 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
12085R0202XDiagnostic Radiology Physician35797KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00139356OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000341155OTHERKYBC/BS INDIVIDUAL PIN NO
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033119839
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG D BUTLER II MD
Provider Business Mailing Address
First Line : 222 MEDICAL CIRCLE
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-1179
Country : US
Telephone Number : 606-783-6500
Fax Number :
Provider Business Practice Location Address
First Line : 222 MEDICAL CIRCLE
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-1179
Country : US
Telephone Number : 606-783-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 03/18/2016

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