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Mr. Kenyon James Bott, APRN
Psychiatric/Mental Health Nurse Practitioner in Hyrum, Utah
NPI 1790071033

Kenyon James Bott is a Psychiatric/Mental Health Nurse Practitioner based in Hyrum, UT and is specialized in Psychiatric/Mental Health. Kenyon James Bott practices in Hyrum, UT and has the professional credentials of APRN. The NPI Number for Kenyon James Bott is 1790071033 and holds a License No. 376170-4408 (Utah).

The current practice location address for Kenyon James Bott is 133 N 500 W, Hyrum, UT and can be reached out via phone at 435-245-3443.

Location: 133 N 500 W, Hyrum, UT, 84319-1080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790071033
Provider Name
Kenyon James Bott
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
133 N 500 W, Hyrum, UT, 84319-1080
Phone Number
435-245-3443
Fax Number
Provider Enumeration Date
06/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
133 N 500 W
City
Hyrum
State
Utah
Zip
84319-1080
Phone Number
435-245-3443
Fax Number
person
Provider Business Mailing Address Details
Address
133 N 500 W
City
Hyrum
State
Utah
Zip
84319-1080
Phone Number
435-245-3443
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
376170-4408 (Utah)
Definition
Definition to come...
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