Miss Kimberly Lyles Butts, is a
Community Health Worker based in Oakland, California. Miss Kimberly Lyles Butts is licensed to practice in California (license number MPSS-MKHLRT) and her current practice location is
390 40th St, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 993-7141.
NPI number for Miss Kimberly Lyles Butts is 1073099552 and her current mailing address is 390 40th Street, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073099552.
Healthcare Provider's Profile
Full Name | Miss Kimberly Lyles Butts |
---|
Gender | Female |
---|
Speciality | Community Health Worker |
---|
Location | 390 40th St, Oakland, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073099552
- Provider Enumeration Date: 07/17/2018
- Last Update Date: 10/02/2024
Medical Identifiers
Medical identifiers for Miss Kimberly Lyles Butts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073099552 | NPI | - | NPPES |
B9627718 | Other | CA | CALIFORNIA ID |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | MPSS-MKHLRT (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Kimberly Lyles Butts is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Kimberly Lyles Butts, 390 40th Street, Oakland, CA 94609 Ph: (510) 993-7141 | Miss Kimberly Lyles Butts, 390 40th St, Oakland, CA 94609-2633 Ph: (510) 993-7141 |
Reviews and Comments