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KATHRYN JANE BUTKOVICH CPNP-PC
NPI 1740665389
Nurse Practitioner - Pediatrics in Green Bay, WI

Active since July 24, 2015
1821 S WEBSTER AVE, GREEN BAY, WI 54301(920) 496-4700 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2019, Feb 23, 2017, Sep 22, 2016 (3 updates tracked since 2016).

About Kathryn Jane Butkovich Cpnp-pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN JANE BUTKOVICH CPNP-PC (NPI 1740665389) is an individual pediatrics provider in Green Bay, Wisconsin, licensed in Wisconsin (6620) and active in the NPI registry since July 2015. She maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1740665389
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHRYN JANE BUTKOVICHCredential: CPNP-PC
Location Address1821 S WEBSTER AVEGreen Bay, WI 54301
Mailing Address1821 S Webster AveGreen Bay, WI 54301-2253 · (920) 496-4700
Phone(920) 496-4700
Sole ProprietorNo
Enumeration DateJuly 24, 2015
Last NPPES UpdateAugust 29, 20193 updates tracked since enumeration
✔ NPI 1740665389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WI · 6620
Also ListedRegistered NurseTaxonomy 163W00000X · License 193019-30 (WI)
1821 S WEBSTER AVE, Green Bay, WI 54301
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Other Names 1

Former Name (1)Kathryn Jane Handrick Cpnp-pc

Secondary Practice Location 1

Location 19000 W Wisconsin Ave, Pediatric GeneticsMilwaukee, WI 53226-4874 · Phone (414) 266-2979 · Fax (414) 266-1616

Other Identifiers 1

Medicaid1740665389WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRMA CATHERINE SMET PHD
Psychologist
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
SERENA ASHOUR APNP
Nurse Practitioner
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
KATHLEEN MARIE BARKOW MD
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
GEORGE E WHETMORE DO
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
LAUREN M RESCH NP
Nurse Practitioner
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. ESRA SIDDEEK DO
Neuromusculoskeletal Medicine & OMM
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
KELSEY SMITH DPT
Physical Therapist
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
CARRIE ANN THOMS MD
Surgery
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Butkovich's NPI number?

The NPI number for Kathryn Butkovich is 1740665389. It was assigned to this individual provider in the NPPES registry on July 24, 2015. The provider is also known as Kathryn Jane Handrick Cpnp-Pc.

Where is Kathryn Butkovich located?

Kathryn Butkovich practices at 1821 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 496-4700.

What is Kathryn Butkovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kathryn Butkovich was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.