Kendra M. Butz, LPN
Individual provider Active NPI Licensed Practical Nurse · Morris, IL
NPI 1063733186 · NPPES record last updated Jun 14, 2010
Key facts
- NPI
- 1063733186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 043085069 (IL)
- Practice address
- 1401 Lakewood Dr
Suite a
Morris, IL 60450-3352 - Phone
- (815) 942-6323
- Fax
- (815) 941-0308
- NPI assigned
- Jun 14, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043085069 | IL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043085069 | IL | Yes |
Addresses
Primary practice location
1401 Lakewood Dr
Suite a
Morris, IL 60450-3352
Mailing address
1401 Lakewood Dr
Suite a
Morris, IL 60450-3352
Phone (815) 942-6323
Other providers in Morris, IL
- Barbara Bunton
- Kaleigh Burkert
- Abigail Ann Burns
- Tripti Burt
- Lorie L Butler
- Kathryn K Byers
- Hector Enrique Cabrera
- Elizabeth Ann Cacello
- Kimberly A. Calhoun
- Rebecca Capshaw
All providers in Morris, IL · Licensed Practical Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.