Provider Demographics
NPI:1881652121
Name:BUTLER, MERLIN G (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MERLIN
Middle Name:G
Last Name:BUTLER
Suffix:
Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:DEPARTMENT OF PSYCHIATRY KANSAS U MED CTR
Mailing Address - Street 2:3901 RAINBOW BLVD., MAILSTOP 4015
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-1873
Mailing Address - Fax:913-588-1305
Practice Address - Street 1:DEPARTMENT OF PSYCHIATRY KANSAS U MED CTR
Practice Address - Street 2:3901 RAINBOW BLVD., MAILSTOP 4015
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-1873
Practice Address - Fax:913-588-1305
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2010-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO115322207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100332740DMedicaid
KS032A00007Medicare UPIN
A97662Medicare UPIN