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Contact Information

CHARLES W BUTRICK, MD
6730 W 121ST ST
OVERLAND PARK, KS66209-2002
 Phone: 913-307-0044
 Fax: 913-948-5380
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CHARLES W BUTRICK · (Male)

NPI # 1295737633
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2005
Last updated 05/30/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 042241
  • KS License # A13916
  • KS Other 04-22411 LICENSE
Hospital affiliation(s)
  • OVERLAND PARK REG MED CTR - (Acute Care)
    10500 QUIVIRA ROAD
    OVERLAND PARK, KS 66215
  • SAINT LUKE'S SOUTH HOSPITAL - (Acute Care)
    12300 METCALF AVENUE
    OVERLAND PARK, KS 66213
  • SHAWNEE MISSION MEDICAL CENTER - (Acute Care)
    9100 W 74TH STREET
    SHAWNEE MISSION, KS 66204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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