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

Kimberly Butana, NP-C, CWON

Individual provider Family Nurse Practitioner · NPI 1619478989

Kimberly Butana, NP-C, CWON is a Nurse Practitioner in Dayton, Ohio. Graduated from Indiana University School of Medicine in 2015, 11 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Trained at
Indiana University School of Medicine
Licensed in
OH
In the registry since
2018
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

425 W Grand Ave Ste 3002
Dayton, OH 45405-4722
Phone: (937) 723-4231
Fax: (937) 723-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.022300 (OH)

Record details

NPI number1619478989
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C , CWON
Sole proprietorNo
NPI enumeratedFebruary 22, 2018
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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