Kelly Butler-Vise, PA-C

NPI #1164752903 in Carlisle, Kentucky

Provider Information

NPI Number: 1164752903
Entity Type: Individual
Name: Kelly Butler-Vise, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 29, 2009
Last Updated: Feb 13, 2013

Practice Location

Address: 107 S BROADWAY ST
City: Carlisle
State: Kentucky
ZIP Code: 40311-1150
Phone: (859) 289-4124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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