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

EMILY KATHRYN BUTTKUS, PAC

Active Sole Proprietor

EMILY KATHRYN BUTTKUS, PAC is a Surgical Physician Assistant healthcare provider located in LEBANON, Tennessee. NPI 1417646464 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · LEBANON, TN

Registration Details

NPI Number
1417646464
Provider Type
Individual
Gender
Female
NPI Issued
May 4, 2023 (3.2406493329945 yrs)
Last Updated
Sep 8, 2023
Licenses
PA0000005515 (TN)
PA5515 (TN)
Sole Proprietor
Yes

Practice Information

Address
100 PHYSICIANS WAY STE 110
LEBANON, TN, 370908107
Browse TN providers · Browse ZIP 37090
Phone
6155476700
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in LEBANON, TN

Name Credential NPI
MRS. KRISTINA MOORE PA-C 1043615644
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.