Kim A Butler, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

AZ1540 Issued in AZ

Practice address

2771 Silver Creek Rd Ste 101
Bullhead City, AZ 86442-7959

Phone

(928) 704-0222

Fax

(928) 704-2666

NPI assigned

Apr 25, 2008

Last updated

Apr 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1902071475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 SILVER CREEK RD STE 101",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427959",
            "telephone_number": "928-704-0222",
            "fax_number": "928-704-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 SILVER CREEK RD STE 101",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427959",
            "telephone_number": "928-704-0222",
            "fax_number": "928-704-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KIM",
        "middle_name": "A",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "AZ1540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bullhead Primary Care, LLC (Bullhead Primary Care)
• Bullhead Urgent Care Corp (Bullhead Urgent Care Center)
• Jonathan Burch, M.A., L.P.C.
• Kerry D Burgess, DMD
• Jennifer Diane Burns
• Claudia Camacho, MD
• Canyon Bullhead Home Health LLC (Canyon Home Care)
• Richard Augustine Cardone, M.D.
• Laura Lavinia Cardwell, DNP
• Care Management Group Inc.

• Medical Physician Assistant in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.