Individual provider · Type 1 NPI

Kenyon James Bott, APRN

Psychiatric/Mental Health Nurse Practitioner · Hyrum, UT

NPI number 1790071033 Active

Practice location

133 N 500 W
Hyrum, UT 84319-1080

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X376170-4408 (UT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1790071033

Kenyon James Bott, APRN's National Provider Identifier is 1790071033, issued on Jun 24, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hyrum, UT. The record was last updated on Jun 24, 2011.