NPI 1023830379

Kinnette Nicole Butler

Practitioner Home Health Agency Hattiesburg, MS

Practice location

Address: 301 Humble Ave STE 171 120 Willis Atreet, Hattiesburg, MS 39401-6365
Phone: (601) 620-4344

Registered specialties (3)

Home Health Agency Primary

Agencies Taxonomy 251E00000X

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Driver

Other Service Providers Taxonomy 172A00000X

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1023830379
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2024
Record last updated: 28 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.