Provider Demographics
NPI:1659515104
Name:KAPP, BRIAN BUTLER (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:BUTLER
Last Name:KAPP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:54 ENGLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06110-1122
Mailing Address - Country:US
Mailing Address - Phone:570-499-9033
Mailing Address - Fax:
Practice Address - Street 1:475 MORGAN HWY
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18508-2605
Practice Address - Country:US
Practice Address - Phone:570-703-2440
Practice Address - Fax:570-703-2415
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD455361208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology