Latundra R Butler

NPI 1104013754 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1104013754
Gender Female
Enumeration Date 09/27/2007
Last Updated 07/18/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
14013 GARNETT ST
OVERLAND PARK KS, 66221-2807, US
Phone (816) 356-4615
Fax
Business Location
1415 NE AMANDA JEAN WAY
GRAIN VALLEY MO, 64029-7838, US
Phone (816) 820-6141
Fax
Toxanomy
Taxonomy Code 320600000X
License State Missouri
License Number 10063429
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According to our database, Mrs. Latundra R Butler NPI is 1104013754, taxonomy code is 320600000X and license number is 10063429, license state is located at Missouri. Latundra R Butler physically located at 14013 Garnett St, Overland Park KS, 66221-2807. NPI Number Latundra R Butler has the Individual type.

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1104013754 NPI number is provided on an as is basis without warranty of any kind. 1104013754 is maintained by the National Plan & Provider Enumeration System. The contents of Latundra R Butler are for informational purposes only.