Individual
KYLE CALVIN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 N 6TH ST E, RIVERTON, WY 82501-4405
(307) 856-9281
Mailing address
707 S GOLDEN LEAF WAY, MAPLETON, UT 84664-5507
(307) 840-6489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
141970411206
UT
Other
Enumeration date
05/08/2023
Last updated
01/27/2025
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