Kelly Butler
Nurse Practitioner, Family in Selma, AL. Individual provider (NPI-1).
NPI number1013774652
StatusActive
Last updated in NPPESApr 18, 2025
Details
- NPI
- 1013774652
- Entity type
- Individual (NPI-1)
- Name
- Kelly Butler
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 29, 2024
- Certification date
- Apr 18, 2025
- Last updated
- Apr 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-074145 | AL | Yes |
Practice location
1475 Al Highway 14 ESelma, AL 36703-2996
Phone 334-526-3240
Mailing address
1500 1st Ave N Unit 3Birmingham, AL 35203-1866
Phone 205-545-5088
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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