Kennith Butler
Kennith Butler is an Optician in Mustang, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
123 N Mustang RdMustang, OK 73064-3912
Phone: (405) 376-0222
Fax: (405) 376-0233
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1942346150 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 29, 2007 |
| Last updated in NPPES | May 6, 2024 |
| Certification date | May 6, 2024 |
| Mailing address | 123 N Mustang Rd, Mustang, OK 73064-3912 |
Other providers in Mustang
-
Mustang Optical, Inc
123 N Mustang Rd, Mustang, OK 73064-3912 · (405) 376-0222