Provider Demographics
NPI:1366488496
Name:BUTLER, CARINA L (MD)
Entity Type:Individual
Prefix:DR
First Name:CARINA
Middle Name:L
Last Name:BUTLER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1218 S BROADWAY
Mailing Address - Street 2:STE 310
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2756
Mailing Address - Country:US
Mailing Address - Phone:859-219-0542
Mailing Address - Fax:859-219-9433
Practice Address - Street 1:1218 S BROADWAY
Practice Address - Street 2:STE 310
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2756
Practice Address - Country:US
Practice Address - Phone:859-219-0542
Practice Address - Fax:859-219-9433
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2012-03-29
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Provider Licenses
StateLicense IDTaxonomies
KY360372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYI12765Medicare UPIN