Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dorian Butler

Individual provider Nurse Practitioner · NPI 1073152807

Dorian Butler is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2019, 7 years ago. Practices with Kennedy Krieger Associates, a 73-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019

Practice location Address checks out

707 N Broadway
Baltimore, MD 21205-1832
Phone: (443) 923-2600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R145391 (MD)

Record details

NPI number1073152807
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 26, 2019
Last updated in NPPESDecember 26, 2019
Certification dateDecember 26, 2019
Mailing address2209 Crossett Rd, Rosedale, MD 21237

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kennedy Krieger Associates — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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