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Contact Information

KELLY B BUTKOWSKI
215 N BENTON DR
SAUK RAPIDS, MN56379
 Phone: 320-281-2030
 Fax: 320-529-0747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KELLY B BUTKOWSKI · (Female)

NPI Number 1124638978
Status Active
Credentials
Entity Individual
Enumeration date 08/06/2020
Last updated 08/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 9843
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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