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Contact Information

KENNETH M BUTLER, SAC-IT, NREMT
1681 N PROSPECT AVE
MILWAUKEE, WI53202-6720
 Phone: 414-273-8484
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for KENNETH M BUTLER · (Male)

NPI # 1023774114
Status Active
Credentials SAC-IT, NREMT
Entity Individual
Enumeration date 11/12/2021
Last updated 11/12/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 19378-130
  • WI License # R1032909
Hospital affiliation(s) Not Available
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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