NPI 1104013754
Latundra R Butler
Practice location
- Address
- 14013 Garnett St, Overland Park, KS 66221-2807
- Phone
- (816) 356-4615
- Mailing address
- 1415 NE Amanda Jean Way, Grain Valley, MO 64029-7838
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1104013754
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Sep 2007
- Record last updated
- 18 Jul 2012
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.