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

Roger Butler II, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1962810366

Roger Butler II, PHYSICIANASSISTANT is a Physician Assistant in Corbin, Kentucky. Qualified in 2014, 12 years ago. Practices with Kentucky Em-I Medical Services PSC, a 42-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
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Practice location Address checks out

121 Bishop St
Corbin, KY 40701-1702
Phone: (606) 528-2124
Fax: (606) 528-8272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1893

Record details

NPI number1962810366
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 29, 2014
Last updated in NPPESJuly 20, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kentucky Em-I Medical Services Psc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Corbin