DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTOPHER LEE BUTLER

Active Sole Proprietor

Peer Specialist · PONCA CITY, OK

Registration Details

NPI Number
1417445511
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2018 (7.9906785755386 yrs)
Last Updated
Apr 25, 2018
Sole Proprietor
Yes

Practice Information

Address
620 W GRAND AVE
PONCA CITY, OK, 746015123
Browse OK providers · Browse ZIP 74601
Phone
5807621462
Fax
5806577299
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in PONCA CITY, OK

Name Credential NPI
THOMAS JENKINS PTA 1174726277
JOHN WENSLER RSS 1073934980
MORGAN MACKENZIE MCGILVREY I 1215335716
MRS. PAULA ELAINE HOWARD 1790160232
SHANELL DENT 1205387644
KATHY MITCHELL 1437691268
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.