KENYON JAMES BOTT

HYRUM, UT
NPI1790071033
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  376170-4408)
Enumeration Date2011-06-24
Last Update Date2011-06-24
Business Address
Mr. KENYON JAMES BOTT APRN
133 N 500 W
HYRUM, UT 84319-1080
Phone number: 435-245-3443
Mailing Address
Mr. KENYON JAMES BOTT APRN
133 N 500 W
HYRUM, UT 84319-1080
Phone number: 435-245-3443
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